皮试液配置一览实用表

常用过敏试验溶液方法一览药物名称皮试液浓配置方法（商品名或规格）度取药物1g，加注射用水或生理盐水4ml（如药物规格为头孢菌素类及不在0.75g加溶媒3ml，0.5g加2ml，0.25g加1ml）溶之，该表中的“其余β-300ug/ml摇匀后取0.1ml，加注射用水或生理盐水稀释至10ml，内酰胺类”摇匀后去取1ml稀释至8ml，摇匀即得（采纳何种溶媒根据详细药物而定）。取0.1ml做皮试。取1g（亚胺培南0.5g+西司他丁0.5g）以NS稀释至亚胺培南/西司他丁亚胺培南50ml；取上述稀释液2.5ml以NS稀释至10ml；再取该（泰能）300ug/ml稀释液1ml以NS稀释至8ml，摇匀即得。取皮试液0.1ml做皮试。300ug/ml取0.5g（帕尼培南0.25+倍他米隆0.25）以帕尼培南/倍他米帕尼培南NS稀释至25ml；取上述稀释液2.5ml以NS稀释至隆（克倍宁）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。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加生理盐水稀链霉素（100万u）500u/ml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。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。破伤风抗毒素无若皮试为阳性，可用脱敏法进行注射。将10倍稀释液，（1500iu）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急救准备。泛影葡胺（60%）30%有机碘用0.05-0.1ml造影剂在前臂作皮内试验,10—15min后复方泛影葡胺观察,有1cm大小的红斑反应即为强阳性。溶液（76%）将本品1瓶溶于5%葡萄糖注射液10ml中，抽出1ml，抑肽酶（112单位/再用5%葡萄糖注射液稀释至5ml即得，静脉注射1ml，1.4单位/ml严实观察15分钟。瓶）本品活性以激肽开释酶灭活单位（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/将本品1瓶溶于5%葡萄糖10ml中，抽出1ml，5.6单位/ml再用5%葡萄糖注射液稀释至5ml即得，静脉注射1ml，瓶）严实观察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将1支以10ml的生理盐水稀释，取0.1ml做皮试。400单位/ml（4000单位）各种皮试液的配制方法一、奴夫卡因（普鲁卡因）过敏皮试支）2%的奴夫卡因一支（40mg/二、前锋霉素过敏皮试前锋霉素0.5g+生理盐水5ml（稀释）0.1ml（原液）+生理盐水0.7ml=2mg取0.1ml（原液）+生理盐水0.9ml=10mg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+生理盐水0.9ml=1000ug取0.1ml+生理盐水0.9ml=100ug注入皮内0.1ml=10ug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）0.1ml（原液）+生理盐水0.9ml=20mg取0.1ml（原液）+生理盐水0.9ml=10mg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+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）0.1ml（原液）+生理盐水0.9ml=10mg取0.1ml（原液）+生理盐水0.9ml=20mg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九、头孢他啶过敏皮试他啶1g+生理盐水5ml（稀释）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）0.1ml（原液）+生理盐水0.9ml=20mg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+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）0.1ml（原液）+生理盐水0.9ml=20mg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=2000ug取0.1ml+生理盐水0.9ml=200ug取0.1ml+生理盐水0.9ml=200ug取0.5ml+生理盐水0.5ml=100ug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%的奴夫卡因一支注入皮内0.1ml=10ug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）0.1ml（原液）+生理盐水=0.25u0.9ml=0.025%注入皮内0.1ml=0.0025%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=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0.1ml＝0.0001u十六、细胞色素C过敏皮试细胞色素C2ml=15mg0.1ml（原液）+生理盐水0.9ml=10mg取0.1ml（原液）+生理盐水0.9ml=0.75mg取0.1ml+生理盐水0.9ml=1000ug注入皮内0.1ml＝0.075mg0.1ml+生理盐水0.9ml=100ug注入皮内0.1ml=10ug十七、破伤风抗毒素过敏皮试十八、哌拉西林钠过敏皮试（氧哌嗪青霉1500IU破伤风一支素）取0.1ml（原液）+生理盐水0.9ml=150IU每支0.5g（含50万u）+生理盐水2ml注入皮内0.1ml=15IU取0.1ml（原液）+0.9ml=1ml（含2.5万附：脱敏疗法u/ml）次数抗毒血清生理盐水注射法取0.1ml（原液）+0.9ml=1ml（含2500u/ml）10.1ml0.9ml肌内注射取0.1ml（原液）+0.9ml=1ml（含250u/ml）20.2ml0.8ml肌内注射注入皮内0.1ml（含25u）30.3ml0.7ml肌内注射4余量稀释至1ml肌内注射十九、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=5U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1ml缓慢注入静脉（在静脉注射造影剂前，一定先作皮内试验，而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20mg/支的胸腺肽+4ml生理盐水稀释则1ml=5mg=5000ug此为①液2、取①液0.5ml+生理盐水0.5ml=1ml=2500ug此为②液3、取②液0.1ml+生理盐水0.9ml=1ml=250ug此为③液4、取③液0.1ml+生理盐水0.9ml=1ml=25ug此为④液5、④液即为胸腺肽皮试液1ml=25ug注入皮内0.1ml即可。备注：用药前请详细阅读药品说明书要求配制皮试。