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女,26岁,住院号1983。患者因常头晕,拟“贫血”,于1982年11月28日上午10时45分肌注右旋糖酐铁50mg,约半分钟后患者突感眼花、眩晕、视物模糊、畏寒、心悸、胸闷、四肢麻木、全身无力,并频频呕吐数次,当即静注50%葡萄糖60ml,肌注维生素B_650mg,未见好转,11时15分转送来我院。入院时见患者寒战,无发热,呼吸稍促、28次,脉搏摸不到,血压20/0,反应迟钝,神智尚清,面色苍白,头额冒汗,皮肤湿润,口唇发绀,四肢厥冷,双瞳孔等圆等大、对光反射存在,颈软,双肺正常,心率62次,律整、心音低沉,无病理神经反射。既往肌注过三磷酸腺甙一次曾有类似情况发生,
Female, 26 years old, hospital number 1983. Patients often dizzy, to be “anemia”, at 10:45 on November 28, 1982 intramuscular injection of iron dextran 50mg, about half a minute after the patient suddenly sensory, dizziness, blurred vision, chills, palpitations, chest tightness, Limb numbness, general weakness, and frequent vomiting several times, immediately intravenous infusion of 50% glucose 60ml, intramuscular injection of vitamin B_650mg, no improvement, 11:15 transferred to our hospital. Patients see cholera on admission, no fever, breathing a little urgently, 28 times, pulse not touch, blood pressure 20/0, unresponsive, still clear, pale, sweating on the head, skin moist, lips and lips, extremities Jueleng , Double pupil and other large circle, the presence of light reflex, neck soft, normal lungs, heart rate 62 times, law, heart sound low, no pathological nerve reflex. Previous intramuscular injection of adenosine triphosphate once occurred in a similar situation,