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药物过敏是一种药品不良反应，是我们的免疫系统误把药品当做敌人，而发起的一场清除战。有些人甚至对抗过敏的药物也产生了过敏反应。其实，生活中近九成的药物过敏是可以提前预知的，听听药师怎么说。
过敏药竟能引发过敏
小王下午在草坪上踢完球，晚上后背就起了皮疹。他瘙痒难耐，抓得全都是突起的小包，大半夜打车去医院急诊看病，诊断为“急性过敏性荨麻疹”。一针抗过敏药下去，小王胸闷头晕、全身无力、呼吸困难、血压下降。医生迅速判断是抗过敏药导致的速发型过敏反应，果断处理立即给予抢救。小王恢复后发出灵魂拷问：“我用的明明是治疗过敏的药，为什么还能导致过敏？”
像小王这种对抗过敏药过敏的例子实属罕见，但也存在。这是因为药物在生产过程中引入的杂质，以及抗过敏药在体内转化后产生的物质，均可能是潜在的过敏原。而且抗过敏药的作用机制多种多样，有直接结合抑制过敏的、有减少过敏物质释放的、有提高自身适应能力缓解过敏的等等，一种抗过敏药往往仅专攻一方面，并不能阻断使我们过敏的各个通道，所以用抗过敏药物，依旧有可能导致过敏发生。
出现这些症状别扛着
药物过敏是一种药品不良反应，是我们的免疫系统误把药品当做敌人，而发起的一场清除战。
究竟怎样算药物过敏？药物过敏可能会出现局部或全身皮疹、并可伴有瘙痒肿胀、变红发热。“速发型”过敏较为严重，甚至会发生呼吸困难、意识不清和低血压。药物过敏可能用药后迅速发生，也可能会在用药数日后发生，甚至可能在停药后才开始。需要专业的医师或药师进行判定，专业人员综合考量服药时间、发生类型、停药等等相关因素后进行判定。
出现什么症状时需要去医院？若在新使用一种药物之后，发生喘不过气呼吸困难、胸闷胸痛感觉快晕倒，面部嘴唇舌头肿胀等，请立即拨打120前往医院。若发生荨麻疹（瘙痒难耐、有隆起的红色斑块，并在几小时内消退）、严重的胃痛或呕吐、发热、起水疱等，也请及时到医院就诊。
大多数药物过敏能提前预防
通过过敏测试等检查，85%至90%的药物过敏可以依据药物的药理学知识进行预测。所以如果有已知的药物过敏，请将药物过敏信息告知医护人员。并在门诊病历本封面仔细认真填写自己的过敏史，包括药品过敏史、食物过敏史和一些特殊的过敏性疾病。
药品有时不止包含一种成分，也可能不止一种药名，所以对于处方中有无过敏药物，有时并不明显。若对某一特定的药物过敏，可能也会对与之相关的其他药物过敏。如果自己是过敏体质，也请您就医时和医生说明情况，并在服药前仔细阅读药品说明书，检查是否对此药品的主要成分或者辅料有过敏史。
还有少部分的药物过敏常发生于易感人群，与药品的药理机制无关，所以依靠相关知识无法推断。如果您经常发生过敏反应，专科医生可能会进行过敏检测，最大程度防范过敏反应的发生。
总的来说，药物过敏大部分可预防可检测，我们只需要在就诊本上记录好过敏史并告知医生和药师。对于对多种食品、物品、药品过敏的人群可提前到相关科室就诊，防患于未然。
注意这些药物较“敏感”
下面给大家“曝光”一些易导致过敏的药物，易感人群可着重关注相关药品。
部分β-内酰胺类抗生素（如青霉素和头孢菌素）、外源的蛋白质类药品（如西妥昔单抗、利妥昔单抗）、铂类化疗药物（如卡铂、顺铂）。这些药品致敏较常见，通常会在最后一次用药后几秒到1小时之间迅速发生，如果药物吸收缓慢，可能会稍微延后。后若再次使用，过敏反应将会更快、更严重。过敏后人体会出现荨麻疹、憋气哮喘、喉头水肿、恶心呕吐、低血压以及昏厥等症状。通过过敏测试，大部分是可以预防的。
部分β-内酰胺类抗生素、磺胺类抗生素和柳氮磺吡啶、米诺环素、苯妥英钠、卡马西平、拉莫三嗪、别嘌醇、阿巴卡韦等。这些药品致敏也较常见，过敏一般出现在开始用药后至少延迟24至48小时，也有可能在治疗开始后数周至数月内发生。患者往往有明显的皮肤症状，如口咽部黏膜结膜水疱、唇黏膜水疱、生殖器黏膜水疱、皮肤烧灼、大面积麻疹样疹子等。对于过去有此类过敏史的患者，要严格禁止使用。部分药品用药前可进行基因检测，排除过敏。
除此之外，还有些不常见的药物过敏情况。比如部分β-内酰胺类抗生素、非甾体抗炎药（如阿司匹林、对乙酰氨基酚、双氯芬酸、布洛芬、塞来昔布）、磺胺类抗生素以及西罗莫司、他克莫司等，可能引起贫血、血小板减少、血清病以及用药后发热等过敏反应。
文/王安妮（北京妇产医院）
来源： 北京青年报
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汉字是中华文化的瑰宝，每一个字都承载着悠久的历史和独特的文化内涵。其中，龄字是一个有趣而神秘的汉字，它在五行学说中又具有特殊的归属。下面，我们将深入探索龄字的含义和其在五行之中所属…
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·江宝全（全国劳模、南京金箔集团董事局主席） 五年前，我的一首顺口溜用了一个″波″字，没想到，五年后，这″波″字真的如病毒笫一波吗？！ 据专家说，放开后的新冠病毒笫一波，就是针对老…
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名字五行是一个古老而神秘的概念，它源于中国的命理学，认为每个人的名字都对应着五行属性中的一种或多种。五行分别为木、火、土、金、水，它们代表着不同的能量和特征。今天，我们将深入解析名…
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#诗词里的浪漫##原创诗词#?#我来为秋天题词#?#诗词里的秋天# 诗者，欲弄懂“格”“律”含义，需研看《文镜秘府论》。然从某文《弄懂格律看此文：对〈文镜秘府论〉格律论的注析（收藏…
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文 月 “一条大河波浪宽，风吹稻花香两岸。我家就在岸上住，听惯了哨公的号子，看惯了船上的白帆。”谭继和、祁和晖老师告诉我，这首歌描绘的是嘉陵江。这是一条被严重忽视和严重低估的一条江…
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孙字五行属什么？孙字五行属性解析 在中华文化中，五行学说是一种重要的传统观念。五行包括金、木、水、火和土，它们代表了自然界的五种基本物质和能量状态。人们相信每个字都有自己的五行属性…
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xinchi外语 465.藏器待时（cang2qi4dai4shi2） 藏：储藏。 器：指才能。 比喻学好本领，等待施展的时机。 Cang：save and preserve. Q…