论文部分内容阅读
男,17岁。因反复关节疼痛2年,再发4天拟“风湿性关节炎”,于1989年12月20日上午9时在私人诊所肌注康宁克通40mg,10分钟后,患者突然胸闷、气急、喉头阻塞、窒息、濒死感,极度烦躁不安,病情急剧进行性加重。即予肌注1%肾上腺素0.3mg,气促稍缓解,约1分钟后,症状又进一步恶化,进行性呼吸困难,口唇发绀,两眼上翻,凝视,四肢抽搐,厥冷至肘、膝部,脉搏扪不清,病情非常危急且进展迅猛而急送入院。入院时体温37.2℃,呼吸窘迫,35次/分,心率125次/分,心音低沉,两肺呼吸
Male, 17 years old. Due to repeated joint pain for 2 years, the recurrence 4 days to be “rheumatoid arthritis”, at 9 o’clock on the December 20, 1989 intramuscular Corning Kay pass 40mg, 10 minutes later, the patient suddenly chest tightness, shortness of breath, throat Obstruction, suffocation, sense of impending death, extreme irritability, aggravating illness. That is to intramuscular injection of 1% epinephrine 0.3mg, shortness of breath slightly alleviate, about 1 minute later, the symptoms further worsened, progressive dyspnea, cyanotic lips, eyes upturned, stare, limbs convulsions, Jueleng to elbows, knee Ministry, palpable pulse, the condition is very critical and the rapid progress of emergency hospital admission. Admission temperature 37.2 ℃, respiratory distress, 35 beats / min, heart rate 125 beats / min, low heart sounds, both lungs breathing