过敏性休克,临床上经常见到,多为服用或注射某种药物后的反应,但是注射乙型肝炎疫苗致过敏性休克的病例还未见报告,现报告一例。患者,女性,27岁,1986年7月曾肌肉注射乙型肝炎疫苗。注射前患者经检查肝功及乙肝血清标志,三系统均为阴性,注射乙肝疫苗后2分钟出现心慌、欲倒、胸闷气急、四肢发绀、抽搐、冷汗,当即被扶于床上。心率:130次/分,血压80/50mmHg,即皮下注射“副肾素”1mg,静脉输注10％葡萄糖液500ml,地塞米松5mg,发绀情况 Anaphylactic shock, clinically often see, mostly taking or after injection of a drug response, but the injection of hepatitis B vaccine-induced allergic shock cases have not been reported, the report is a case. Patient, female, 27 years old, had an intramuscular hepatitis B vaccine in July 1986. Before the injection of liver function test and hepatitis B serum markers, the three systems were negative, 2 minutes after the injection of hepatitis B vaccine appeared palpitation, want to fall, chest tightness and shortness of breath, limbs cyanosis, convulsions, cold sweat, was immediately helped in the bed. Heart rate: 130 beats / min, blood pressure 80 / 50mmHg, subcutaneous injection of “Vice renin” 1mg, intravenous infusion of 10% glucose solution 500ml, dexamethasone 5mg, cyanosis