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1例43岁右上腹隐痛,间断性绞痛,以慢性结石性胆囊炎患者术前用药丁溴东莨菪碱10mg静滴,以10ml/kg复方乳酸纳液静脉输注后(30-40min内),给予地塞米松10mg,昂丹司琼8mg静滴。2min后,BP突然下降,再给予麻黄碱20mg静推,继观患者,BP无明显回升,患者全身出血斑片状荨麻疹,当即给予肾上腺素、注平衡液、静滴,患者症状缓减,5h后生命体征平稳。
One case of 43-year-old right upper quadrant pain and intermittent angina, with patients with chronic calcific cholecystitis preoperative dosing of 10mg intravenous buprenorphine intravenous infusion of 10ml / kg compound lactate sodium (within 30-40min) Dexamethasone 10mg, ondansetron 8mg intravenous infusion. After 2 minutes, BP suddenly decreased, and then given epinephrine 20mg static push, follow-up patients, BP no apparent recovery, patients with systemic hemorrhage patchy urticaria, immediately given epinephrine, balanced fluid, intravenous infusion, 5h after the vital signs stable.