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病历摘要患者于1985年2月11日中午进食面条及豆油炒炸蚕蛹,约50g。食后1小时感头皮瘙痒,麻木,继之头痛,恶心呕吐,呕出物为进入食物。此时全身皮肤瘙痒、剧烈腹痛,急送门诊。测血压60/50;肌肉注射肾上腺素1mg 后送入病房。患者幼年曾患荨麻疹1次,至今未复发。以前曾多次食用油炸蚕蛹无任何反应。本次同食的女儿无任何症状。体检:体温36℃,脉搏84次,血压106/76。精神紧张,脐周轻度压痛,无反跳痛及肌紧张,肠鸣音稍亢进。皮肤专科检查见全身皮肤弥漫性潮红,躯干四肢满布大片风团,表面呈桔皮样,互相融合,成椭圆形,压之退色,划纹征阳性。实验室检查:
Patient summary February 2, 1985 at noon on the noodles and fried noodles fried silkworm pupa, about 50g. 1 hour after eating scalp pruritus, numbness, followed by headache, nausea and vomiting, vomit into the food. At this time systemic skin itching, severe abdominal pain, emergency delivery. Blood pressure was measured 60/50; intramuscular injection of epinephrine 1mg into the ward. Patients with urticaria once had childhood, has not relapsed. There have been many times before eating fried silkworm pupa without any reaction. The daughter of the same food without any symptoms. Physical examination: body temperature 36 ℃, pulse 84 times, blood pressure 106/76. Mental stress, umbilical mild tenderness, no rebound tenderness and muscle tension, bowel sounds slightly hyperthyroidism. Skin specialist examination showed diffuse flushing of the whole body skin, trunk covered with large groups of wind and limbs, the surface was orange-like, fused with each other, into an oval, pressure of the fade, stroke sign positive. Laboratory examination: