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患者,女,31岁,因幽门不全梗阻,于1985年12月24日入院。术前检查心、肝、肾功能无异常。于12月30日上午静滴低右,约5分钟时患者即感胸闷、憋气、呼吸困难。体检:神清,面色略潮红,额部出汗,口唇发绀,血压未测出,心音弱,心率140/分。当即停止输液,吸氧,静注25%葡萄糖20ml加西地兰0.4mg。肌注麻黄素50mg,异丙嗪25mg。15分钟后测血压升至80/70mg。继静滴10%葡萄糖500ml加阿拉明20mg,地塞米松10mg,1小时后血压升至90/70mmHg,3个小时后血压恢复正常。下午当静滴409代血浆300ml左右时,患者再次出现上述症状,测血压50/20mmHg,心率140/分。
The patient, female, 31 years old, was admitted to hospital on December 24, 1985 because of obstructive pyloric obstruction. Preoperative check heart, liver, kidney function without exception. In the morning of December 30, intravenous infusion of low right, about 5 minutes when the patient was feeling chest tightness, suffocation, breathing difficulties. Physical examination: Shen Qing, looking slightly flush, forehead sweating, lips cyanosis, blood pressure was not detected, weak heart sounds, heart rate 140 / min. Immediately stop infusion, oxygen, intravenous injection of 25% glucose 20 ml plus cedilanid 0.4mg. Intramuscular ephedrine 50mg, promethazine 25mg. After 15 minutes the blood pressure rose to 80 / 70mg. Following intravenous infusion of 10% glucose 500ml plus Alamin 20mg, dexamethasone 10mg, 1 hour after the blood pressure rose to 90 / 70mmHg, 3 hours after the blood pressure returned to normal. 409 when the afternoon when the plasma is about 409 ml of plasma, the patient again the above symptoms, measuring blood pressure 50 / 20mmHg, heart rate 140 / min.