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Anaphylaxis Followed by Reversible Myocardial Ischemia: A Case Report

過敏反應後之可逆性心肌局部缺血:病例報告

摘要


我們報告的病例是一位38歲的女性在接受腰椎脊髓X光照像時經由脊椎腔內10注射毫昇之Iotrolan(Isovist-300)後引起過敏性休克,其後並繼發心室性心搏過速及暫時性的心肌局部缺血。病人否認以前有心臓病或藥物過敏。一種類過敏性反應可經由IgE居間的過敏反應發生在第一次注射碘化造影劑。

並列摘要


We report a case of ventricular tachycardia and transient ST-segment depression and T wave invertion in a 38-year-old woman who developed anaphylactic shock, following an intrathecal injection of lotrolan 10 ml(Isovist-300) for a lumbar spine myelography. The patient denied pre-existing cardiac disease or drug allergy. An anaphylactoid reaction can occur after the initial linjection of iodinated contrast media through an IgE-mediated hypersensitivity reaction.

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