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患儿许××,男,3岁,因发热三天(最高T38.7℃)、咳嗽、咽痛,于97年9月18日来我院儿科就诊,诊断为上感,给予希刻劳干糖浆及咳嗽Ⅲ号(宣武医院自配制剂)治疗。患儿回家眼药后约30分钟出现眼睑口唇水肿、面部有大小不等风团,自觉痒、伴面色发白、四肢发凉、继而呼之不应、呼吸急促,持续约十分钟稍缓解,急来我院就诊。静推地塞米松3mg及吸氧后收入院。 入院查体:T37.2℃,Bp9.33/6kPa,HR120次/分,神清,面部潮红,双肺呼吸音稍粗,未闻罗音,心音有力、律齐。诊断为:药物过敏、上呼吸道感染。入院后又给予地塞米松3mg、10％葡萄糖酸钙10ml静推,非那根12.5mg,im.,30分钟后,患儿面部皮疹消退,眼睑水肿减轻,口唇水肿消退,心音有力,肺未见异常,腹软,四肢暖,Bp升至11.33/66.67kPa,后又进行抗感染治疗:无环鸟苷
Children Xu × ×, male, 3 years old, due to fever for three days (up to T38.7 ℃), cough, sore throat, came to our hospital pediatric on September 18, 97, diagnosed as a sense of giving Xi Kelao Dry syrup and cough III (Xuanwu Hospital self-formulated) treatment. About 30 minutes after the children came home ophthalmic eyelid lip edema, face ranging from small groups of wind, consciously itchy, accompanied by pale, cold limbs, and then call should not, shortness of breath, lasted about ten minutes to ease Urgent come to our hospital. Static dexamethasone 3mg and oxygen hospital income. Admission examination: T37.2 ℃, Bp9.33 / 6kPa, HR120 beats / min, Shen Qing, facial flushing, lung breath sounds a bit coarse, not heard Luo sound, heart sound powerful, law Qi. Diagnosed as: drug allergy, upper respiratory tract infection. After admission, given dexamethasone 3mg, 10% calcium gluconate 10ml static push, non-that root 12.5mg, im., 30 minutes later, children with facial rash subsided eyelid edema, lip edema subsided, strong heart sounds, See abnormalities, abdominal softness, warm limbs, Bp rose to 11.33 / 66.67kPa, and then anti-infective treatment: acyclovir