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男患,52岁.慢性咳嗽、咳痰10年,复发伴发热7天入院.既往无过敏史.诊断为慢性支气管炎急性发作,慢性阻塞性肺气肿.入院后选用庆大霉素静滴,热退、咳嗽减轻.进院第3天改用低分子右旋糖酐.输液不到2分钟患者胸闷、心悸,继之烦躁不安、面色苍白,大汗淋漓,四肢抽搐、意识丧失.立即投用抗组织胺药,1‰肾上腺素1ml 肌内注射.并用激素、中枢呼吸兴奋剂.抢救历时15分钟,呼吸心跳停止行人工呼吸、胸外按摩无效而死亡.心电图检查,排除心肌梗塞.无神经定位症状可排除脑卒中.低分子右旋糖酐有改善微循环的作用,能防止弥漫性血管内凝血.但具有抗原性,可发生过敏反
Male suffering, aged 52. Chronic cough, sputum for 10 years, recurrent fever with 7 days admitted to the hospital without previous history of allergy.Acute attack of chronic bronchitis, chronic obstructive pulmonary emphysema.Selected gentamicin intravenous infusion , Fever retreat, cough reduced .3 days into the hospital to use low molecular weight dextran infusion less than 2 minutes patients with chest tightness, palpitations, followed by irritability, pale, sweating, limbs convulsions, loss of consciousness. Histamine drugs, 1 ‰ epinephrine 1ml intramuscular injection and with hormones, central respiratory stimulants .Rescue lasted 15 minutes, respiration to stop breathing artificial respiration, chest massage invalid and died. ECG, excluding myocardial infarction. Symptoms can rule out stroke. Low molecular weight dextran can improve the role of microcirculation, to prevent diffuse intravascular coagulation, but with antigenicity, allergy can occur