药物过敏反应病程记录范文

药物过敏反应病程记录范文英文回答：
Drug Allergic Reaction Course Record.
Patient Name: [Patient's Name]
Date of Admission: [Date of Admission]
Date of Onset: [Date of Onset]
Date of Resolution: [Date of Resolution]
Medical History:
The patient has a history of drug allergies, specifically to [specific drug(s)]. Previous allergic reactions include [symptoms experienced during previous reactions]. The patient has not experienced any other drug allergies.
Presenting Complaint:
The patient presented with [symptoms experienced during the current allergic reaction], which started on [Date of Onset]. The symptoms included [specific symptoms experienced].
Physical Examination Findings:
Upon examination, the patient exhibited [specific physical findings]. These findings were consistent with an allergic reaction.
Laboratory and Diagnostic Results:
Laboratory tests were conducted to confirm the allergic reaction. The results showed [specific findings from laboratory tests].
Management and Treatment:
Upon admission, the patient was immediately treated with [specific treatment provided]. The response to treatment was [response observed].
Progression of Symptoms:
During the course of the allergic reaction, the patient experienced [description of symptom progression]. The symptoms peaked on [date of peak symptoms] and gradually subsided thereafter.
Resolution:
The patient's symptoms completely resolved on [Date of Resolution]. The patient was closely monitored during this period to ensure no recurrence of symptoms.
Follow-up and Recommendations:
The patient was advised to avoid [specific drug(s)] and any other drugs from the same class in the future. A referral to an allergist was made for further evaluation
and management of drug allergies. The patient was also educated on the importance of carrying an allergy alert card and informing healthcare providers about their drug allergies.
Conclusion:
This document serves as a record of the course of the patient's drug allergic reaction. It outlines the management and treatment provided, as well as the progression and resolution of symptoms. The patient's history of drug allergies should be taken into consideration for future medical interventions.
中文回答：
药物过敏反应病程记录。

患者姓名，[患者姓名]
入院日期，[入院日期]
发病日期，[发病日期]
病情缓解日期，[病情缓解日期]
病史：
患者有药物过敏史，具体对[特定药物]过敏。

先前的过敏反应包括[先前反应期间出现的症状]。

患者没有其他药物过敏史。

主诉：
患者出现了[目前过敏反应期间出现的症状]，起始于[发病日期]。

症状包括[具体症状]。

体格检查结果：
检查时，患者表现出[具体体格检查发现]。

这些发现与过敏反应一致。

实验室和诊断结果：
进行了实验室检查以确认过敏反应。

结果显示[实验室检查的具
体结果]。

治疗和处理：
入院后，患者立即接受了[具体治疗方法]。

治疗的反应为[观察到的反应]。

症状进展：
在过敏反应的过程中，患者出现了[症状进展的描述]。

症状在[症状达到高峰的日期]达到高峰，此后逐渐缓解。

病情缓解：
患者的症状在[病情缓解日期]完全缓解。

在此期间，患者接受密切监测，以确保症状不会再次发作。

随访和建议：
建议患者将来避免使用[特定药物]和同类药物。

已转诊给过敏症专家进行进一步评估和管理药物过敏。

患者还接受了有关携带过敏警示卡和告知医疗人员药物过敏史的重要性的教育。

结论：
本文档记录了患者药物过敏反应的病程。

它概述了提供的治疗和处理方法，以及症状的进展和缓解。

在未来的医疗干预中应考虑患者的药物过敏史。