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患者 女,42岁。因发热,咽炎给予静脉滴注5％葡萄糖注射液250ml加林可霉素1.2g,以60滴/min的速度输入,约5分钟时,患者诉胸闷,呼吸困难,耳鸣;随后出现神志不清,面色苍白,冷汗,口唇紫绀、抽搐、脉细弱,血压10/8kPa,无皮疹及胃肠道反应,立即停止输液,静脉推注地塞米松10mg,保持平卧,吸氧,5％葡萄糖注射液250ml加地塞米松10mg静滴,约10分钟后神志转清,抽搐停止,缺氧症状逐渐改善,30分钟后血压12/8kPa,脉搏80次/min,继续观
Female patient, 42 years old. Due to fever, pharyngitis given intravenous infusion of 5% glucose 250ml plus lincomycin 1.2g, 60 drops / min speed input, about 5 minutes, the patient complained of chest tightness, difficulty breathing, tinnitus; followed by delirious , Pale, cold sweat, cyanotic lips, convulsions, weak pulse, blood pressure 10 / 8kPa, no rash and gastrointestinal reactions, immediately stop infusion, intravenous dexamethasone 10mg, remain supine, oxygen, 5% glucose injection 250ml dexamethasone 10mg intravenous infusion of consciousness about 10 minutes clear, convulsions stopped, hypoxia symptoms gradually improved, 30 minutes after the blood pressure 12 / 8kPa, pulse 80 beats / min, continue to view