Inhalation of formaldehyde gas in 1 case of anaphylactic shock caused by.docVIP

 PAGE \* MERGEFORMAT 4 Inhalation of formaldehyde gas in 1 case of anaphylactic shock caused by [Keywords:] anaphylactic shock Anaphylactic shock is a critical illness requiring immediate emergency treatment, rapid onset of the disease, causes complex. Usually by the seafood food, penicillin-type drugs, serum preparations, various vaccines, infection, a variety of insect toxins, such as nettle and pollen cause, most patients can not find the exact cause. from inhalation of formaldehyde-induced anaphylactic shock is rare, are reported below. 1 Clinical data Patients, female, 43 years old, November 15, 2005 the afternoon playing in the indoor tennis court (tennis court just minutes after completion of renovation .40 palpitation, chest tightness, shortness of breath, thinking that excessive movement, to the sidelines to rest, body itching appears and rashes, with dizziness, irritability, sweating, followed by unconsciousness, call 120 colleagues, eager to come to our hospital. patients without previous history of allergy. examination: body temperature 37.2 , pulse 152 beats / min, respiratory 28 beats / min, blood pressure measuring less than conscious indifference, questioned did not answer, clammy extremities. eyelids, lips swelling, conjunctival hyperemia, head, face, neck, trunk, limbs scattered in large areas of erythema, the wind group, lesion size does not and so, different patterns to the face and trunk for the weight. no blisters, erosion, and positive signs of skin scratches. According to history, signs of acute urticaria, anaphylactic shock. Immediate oxygen, establishment of intravenous access, ECG monitoring to give subcutaneous injection of adrenalin hydrochloride 0.5mg, intramuscular injection of dexamethasone 5mg, promethazine hydrochloride 25mg, and given 5% glucose 250mL, 10% calcium gluconate 10mL, vitamin C200mg, dexamethasone 10mg (5mg into the pot, 5mg into solution, continuous intravenous infusion of [1] .15 minutes later, bloo