頭孢菌素等抗菌藥的物皮膚過敏試驗皮試液配制方法

頭抱菌素等抗菌藥物皮膚過敏試驗皮試液配制方法頭泡菌素等抗菌藥物皮膚過敏試驗皮試液配制方法《中國藥典-臨床用藥須知》（2005版）規(guī)定：使用青霉素類抗生素前均需做青霉素皮膚過敏試驗，陽性反應者禁用。對頭泡菌素類抗生素未明確規(guī)定必須做過敏試驗，但有過敏史或過敏體質(zhì)者等，可根據(jù)情況用原藥做皮膚過敏試驗。類別通用名商品名（或別名）皮試液配制方法皮試液濃度試敏時取皮試液量取藥量加入生理鹽水的量第一次第次至第三次至第四次至第一代頭泡菌素頭泡唑啉先鋒V號1.0g2ml抽取0.1m1ml推掉0.9ml余0.1ml推掉0.9ml余0.1ml1ml500〃g/ml0.1ml

l1ml頭孢硫脒仙力素1.0g2ml抽取0.1ml1ml推掉0.9ml余0.1ml1ml推掉0.9ml余0.1ml1ml500gg/ml0.1ml頭孢替唑特子社復1.0g2ml抽取0.1m1ml推掉0.9ml余0.11ml推掉0.9ml余0.1ml1ml500gg/ml0.1ml

lml第二代頭孢菌素頭孢呋辛達力欣1.0g5ml抽取0.1ml1ml推掉0.9ml余0.1ml1ml推掉0.85ml余0.15ml1ml300gg/ml0.1ml麗扶欣1.5g12ml抽取0.4m1ml推掉0.9ml余0.11ml推掉0.9ml余0.1ml1ml500gg/ml0.1ml

lml頭孢西丁海西丁1.0g2ml抽取0.1ml1ml推掉0.9ml余0.1ml1ml推掉0.9ml余0.1ml1ml500gg/ml0.1ml頭孢替安替他欣0.5g5ml抽取0.1ml1ml推掉0.9ml余0.11ml推掉0.7ml余0.3ml1ml300gg/ml0.1ml

ml5ml1ml推佩羅欣1.0g抽取0.1ml掉0.9ml余0.1ml1ml推掉0.85ml余0.15ml1ml300gg/ml0.02ml皮試液配制方法皮試液濃度試敏時取通商品名加入生理鹽水的量皮試液量類別用名（或別名）取藥量第一次第次至第三次至第四次至地—-弟三代頭孢益左欣0.2m1ml1m推掉0.9ml余1m500gg/ml0.1ml頭孢唑5l推0.1mll

菌素肟g抽取0.2ml掉0.9ml余0.1ml頭孢他啶頭孢他啶0.5g2ml抽取0.2ml1ml推掉0.9ml余0.1ml1ml推掉0.9ml余0.1ml1ml500gg/ml0.1ml新天欣0.755ml抽1ml推掉1ml推掉0.9ml余0.1ml0.6ml500gg/ml0.1ml

g取0.1ml0.8ml余0.2ml益他欣1.0g2ml抽取0.1ml1ml推掉0.9ml余0.1ml1ml推掉0.9ml余0.1ml1ml500gg/ml0.1ml凱復定1.0g2ml抽取1ml推掉0.1m推掉0.9ml余0.1ml1ml500gg/ml0.1ml

09.ml1余m0.l1ml211mmml推掉0.9ml余l(xiāng)推0.1ml頭1抽掉孢.取0.1立健諾09m500gg/ml0.1ml米0諾g.mll1余m0.1ml511ml頭1mml推掉0.85ml余1孢先鋒利.l推0.15mlm300gg/ml0.1ml匹胺0抽掉l胺g取0.09

.1mlml余0.1ml頭孢曲松羅氏芬1.0g2ml抽取0.1ml1ml推掉0.9ml余0.1ml1m推掉0.9ml余0.1ml1ml500gg/ml0.1ml第四代頭孢菌素頭孢毗肟馬斯平1.0g10ml抽取01ml推掉0.9ml1ml推掉0.7ml余0.3ml1ml300gg/ml0.1ml

.1ml余0.1ml氟氧頭孢氟嗎寧1.0g4ml抽取0.1ml10ml推掉9ml余1ml8ml300gg/ml0.02mlP-內(nèi)酰胺酶抑制劑頭孢哌酮/舒巴坦出顯先曰0.5g4ml抽取0.4m1ml推掉0.9ml余0.1ml推掉0.9ml余0.1ml1ml500gg/ml0.1ml

l1ml鈴蘭欣1.0g2ml抽取0.1ml1ml推掉0.9ml余0.1ml1ml推掉0.9ml余0.1ml1ml500gg/ml0.1ml舒普深1.0g2ml抽取0.1m1ml推掉0.9ml余0.11ml推掉0.9ml余0.1ml1ml500gg/ml0.1ml

lml211ml0ml推掉0.9ml余m推0.1ml1l掉新瑞普.抽0.1欣5取9m500gg/ml0.1ml0mllg.余10.m1lml411mlmml推掉0.9ml余l(xiāng)推0.1ml2抽掉1可倍.取0.m500gg/ml0.1ml009lg.ml1余m0.l1

ml211ml.ml推掉0.9ml余帕5推0.1ml尼培0ml掉0.碳青南/.抽91霉烯倍克倍寧5取mlm300〃g/ml0.02ml類他g0余l(xiāng)米.0.隆115mlml陽性結(jié)果判斷標準：皮試液注射20分鐘后判斷。1、 皮試液為0.1ml者：局部出現(xiàn)紅腫，直徑大于1cm或局部紅暈或伴有小水泡2、 皮試液為0.02ml者：有下列情況之一紅暈直徑在20mm以上丘疹直徑在9mm以上丘疹周圍伴有偽足時注射局部雖然為陰性，但有全身反應（麻木、發(fā)熱、頭痛、眩暈、耳鳴、不安、脈速、不快感、口感異常、便意、出汗等）情況時有關(guān)說明：頭孢西丁從藥理學角度進行分類應為頭霉素類而非頭孢菌素類，但其抗菌譜及其抗菌強度與第二代頭孢菌素相似，故將其歸入第二代頭孢菌素。同理，將頭孢米諾歸入第三代頭孢菌素；氟氧頭孢歸入第四代頭孢菌素。附件中的試敏方法只有頭孢替安（佩羅欣）皮試液用量改為0.02ml，判斷標準也相應改變。其他藥物與以前相同。劉高峰2.我院青霉素類抗菌藥物皮內(nèi)試驗試敏液配制方法按我國衛(wèi)生部規(guī)定，使用青霉素類抗生素前均需做皮膚試驗，陽性反應者禁用。（2005版《中華人民共和國藥典-臨床用藥須知》以下簡稱《臨床用藥須知》）青霉素類不同品種間存在著交叉過敏關(guān)系。青霉素類藥物在應用前可用青霉素G鈉皮試液進行皮試。（第15版《新編藥物學》）按《臨床用藥須知》（2005版）規(guī)定，青霉素皮膚試驗溶液配制方法如下：同時《臨床用藥須知》還規(guī)定，做青霉素皮試時須注意：極少數(shù)高敏患者可在皮膚試驗時發(fā)生過敏性休克，常于注射后數(shù)秒至5分鐘出現(xiàn)，應立即按過敏性休克搶救方法進行救治；試驗用藥含量要準確，配制后在冰箱中保存不應超過24小時；更換同類藥物或不同批號或停藥3天以上，須重新作皮內(nèi)試驗。

通用名皮內(nèi)試敏液配制方法皮試液濃度皮內(nèi)注射時取皮試液量取藥量加入生理鹽水的量第一次第二次至第三次至第