5皮试液配置一览表.doc

常用过敏试验溶液方法一览表药物名称（商品名或规格）皮试液浓度配置方法头孢菌素类及不在该表中的“其他-内酰胺类”300ug/ml取药物1g，加注射用水或生理盐水4ml（如药物规格为0.75g加溶媒3ml，0.5g加2ml，0.25g加1ml）溶之，摇匀后取0.1ml，加注射用水或生理盐水稀释至10ml，摇匀后去取1ml稀释至8ml，摇匀即得（采用何种溶媒根据具体药物而定）。取0.1ml做皮试。亚胺培南/西司他丁（泰能）亚胺培南300ug/ml取1g（亚胺培南0.5g+西司他丁0.5g）以NS稀释至50ml；取上述稀释液2.5ml以NS稀释至10ml；再取该稀释液1ml以NS稀释至8ml，摇匀即得。取皮试液0.1ml做皮试。帕尼培南/倍他米隆（克倍宁）帕尼培南300ug/ml取0.5g（帕尼培南0.25+倍他米隆0.25）以NS稀释至25ml；取上述稀释液2.5ml以NS稀释至10ml；再取该稀释液1ml以NS稀释至8ml,摇匀即得。取皮试液0.1ml做皮试。链霉素（100万u）500u/ml取链霉素1g（100万u），加生理盐水3.5ml.溶解后即成4ml（每毫升含25万u）。再取0.1ml加生理盐水稀释至1ml（每毫升含2.5万u）。再取0.1ml加生理盐水稀释至1ml（每毫升含2500u）。最后取0.2ml加生理盐水稀释至1ml（每毫升含500u）即得。取皮试液0.1ml做皮试。破伤风抗毒素（1500iu）无取0.1ml加生理盐水稀释至1ml即得，取皮试液0.1ml在前臂做皮内试验。15分后观察。若皮试为阳性，可用脱敏法进行注射。将10倍稀释液，按0.2、0.4、0.8ml3次注入，每次间隔30分钟，如无反应，再注射其余量，但在注射前要做好过敏性休克的抢救准备。泛影葡胺（60%）复方泛影葡胺（76%）30%有机碘溶液用0.05-0.1ml造影剂在前臂作皮内试验,1015min后观察,有1cm大小的红斑反应即为强阳性。抑肽酶（112单位/瓶）1.4单位/ml将本品1瓶溶于5%葡萄糖注射液10ml中，抽出1ml，再用5%葡萄糖注射液稀释至5ml即得，静脉注射1ml，严密观察15分钟。本品活性以激肽释放酶灭活单位（KIU）或胰蛋白酶灭活单位来表示。1胰蛋白酶灭活单位相当于1800KIU。抑肽酶（278单位/瓶）5.6单位/ml将本品1瓶溶于5%葡萄糖10ml中，抽出1ml，再用5%葡萄糖注射液稀释至5ml即得，静脉注射1ml，严密观察15分钟。VitB1（0.1g/2ml）无取本品0.1ml，稀释至1ml，皮内注射0.1ml做皮试糜蛋白酶粉针（4000单位）400单位/ml将1支以10ml的生理盐水稀释，取0.1ml做皮试。87一各种皮试液的配制方法一、奴夫卡因（普鲁卡因）过敏皮试（40mg/支）2%的奴夫卡因一支取0.1ml（原液）+生理盐水0.7ml=2mg取0.1ml+生理盐水0.9ml=0.25mg取0.1ml+生理盐水0.9ml=0.025mg注入皮内0.1ml=0.0025mg二、先锋霉素过敏皮试先锋霉素0.5g+生理盐水5ml（稀释）取0.1ml（原液）+生理盐水0.9ml=10mg取0.1ml+生理盐水0.9ml=1000ug取0.1ml+生理盐水0.9ml=100ug注入皮内0.1ml=10ug三、链霉素过敏皮试链霉素100万u+生理盐水3.5ml融解后为4ml，每ml含链霉素25万u取0.1ml（原液）+生理盐水0.9ml=2.5万u取0.1ml+生理盐水0.9ml=2500u注入皮内0.1ml=250u四、青霉素过敏皮试青霉素80万+生理盐水4ml（稀释）取0.1ml（原液）+生理盐水0.9ml=2万u取0.1ml+生理盐水0.9ml=2000u取0.1ml+生理盐水0.9ml=200u注入皮内0.1ml=20u五、头孢哌酮钠（全达）过敏皮试全达2g+生理盐水10ml（稀释）取0.1ml（原液）+生理盐水0.9ml=20mg取0.1ml+生理盐水0.9ml=2000ug取0.1ml+生理盐水0.9ml=200ug取0.5ml+生理盐水0.5ml=100ug注入皮内0.1ml=10ug六、头孢哌酮钠（舒巴坦钠）过敏皮试舒巴坦钠0.5g+生理盐水5ml（稀释）取0.1ml（原液）+生理盐水0.9ml=10mg取0.1ml+生理盐水0.9ml=1000ug取0.1ml+生理盐水0.9ml=100ug注入皮内0.1ml=10ug七、头孢噻吩钠过敏皮试噻吩钠0.5g+生理盐水5ml（稀释）取0.1ml（原液）+生理盐水0.9ml=10mg取0.1ml+生理盐水0.9ml=1000ug取0.1ml+生理盐水0.9ml=100ug注入皮内0.1ml=10ug八、头孢噻肟钠过敏皮试噻肟钠1g+生理盐水5ml（稀释）取0.1ml（原液）+生理盐水0.9ml=20mg取0.1ml+生理盐水0.9ml=2000ug取0.1ml+生理盐水0.9ml=200ug取0.5ml+生理盐水0.5ml=100ug注入皮内0.1ml10ug九、头孢他啶过敏皮试他啶1g+生理盐水5ml（稀释）取0.1ml（原液）+生理盐水0.9ml=20mg取0.1ml+生理盐水0.9ml=2000ug取0.1ml+生理盐水0.9ml=200ug取0.5ml+生理盐水0.5ml=100ug注入皮内0.1ml=10ug十、头孢曲松钠过敏皮试曲松钠1g+生理盐水5ml（稀释）取0.1ml（原液）+生理盐水0.9ml=20mg取0.1ml+生理盐水0.9ml=2000ug取0.1ml+生理盐水0.9ml=200ug取0.5ml+生理盐水0.5ml=100ug注入皮内0.1ml=10ug十一、头孢拉啶过敏皮试拉啶1g+生理盐水5ml（稀释）取0.1ml（原液）+生理盐水0.9ml=20mg取0.1ml+生理盐水0.9ml=2000ug取0.1ml+生理盐水0.9ml=200ug取0.5ml+生理盐水0.5ml=100ug注入皮内0.1ml=10ug十二、头孢哌酮钠过敏皮试哌酮钠1g+生理盐水5ml（稀释）取0.1ml（原液）+生理盐水0.9ml=20mg取0.1ml+生理盐水0.9ml=2000ug取0.1ml+生理盐水0.9ml=200ug取0.5ml+生理盐水0.5ml=100ug注入皮内0.1ml=10ug十三、奴夫卡因（普鲁卡因）过敏皮试0.25%的奴夫卡因一支取0.1ml（原液）+生理盐水0.9ml=0.025%注入皮内0.1ml=0.0025%十四、蝮蛇抗栓酶过敏皮试蝮蛇抗栓酶0.25u+生理盐水1ml（稀释）=0.25u取0.1ml（原液）+生理盐水0.9ml=0.025u取0.1ml+生理盐水0.9ml=0.0025u取0.4ml+生理盐水0.6ml=0.001u注入皮内0.1ml0.0001u十五、氨苄青霉素过敏皮试氨苄青霉素0.5g+生理盐水5ml（稀释）取0.1ml（原液）+生理盐水0.9ml=10mg取0.1ml+生理盐水0.9ml=1000ug取0.1ml+生理盐水0.9ml=100ug注入皮内0.1ml=10ug十六、细胞色素C过敏皮试细胞色素C 2ml=15mg取0.1ml（原液）+生理盐水0.9ml=0.75mg注入皮内0.1ml0.075mg十七、破伤风抗毒素过敏皮试1500IU破伤风一支取0.1ml（原液）+生理盐水0.9ml=150 IU注入皮内0.1ml=15 IU附：脱敏疗法次数 抗毒血清 生理盐水 注射法1 0.1ml 0.9ml 肌内注射2 0.2ml 0.8ml 肌内注射3 0.3ml 0.7ml 肌内注射4 余量 稀释至1ml 肌内注射十八、哌拉西林钠过敏皮试（氧哌嗪青霉素）每支0.5g（含50万u）+生理盐水2ml取0.1ml（原液）+0.9ml=1ml（含2.5万u/ml）取0.1ml（原液）+0.9ml=1ml（含2500u/ml）取0.1ml（原液）+0.9ml=1ml（含250u/ml）注入皮内0.1ml（含25u）十九、结核菌素过敏皮试（PPD）PPD皮试液每ml含1ug，已稀释制品为50u/ml，用1ml注射器抽取原液，注入皮内0.1ml=5 U二十、碘过敏试验法1ml:0.3g碘造影剂1支1、皮内试验法：取碘造影剂原液0.1ml作皮内注射。注入皮内0.1ml=3mg2、静脉注射试验法：将碘造影剂1 ml缓慢注入静脉 （在静脉注射造影剂前，必须先作皮内试验，然后再作静脉注射试验，如为阴性，方可进行碘剂造影）二十二、注射用胸腺肽皮试配置方法1取规格为20 mg/支的胸腺肽+4ml生理盐水稀释则1