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患者,女,49岁。因咳嗽、咯痰伴喘息4个月收住院。入院诊断为支气管哮喘。查体:一般情况好,双肺呼吸音粗,可闻及少许哮鸣音,心率90/分,心律齐,心音有力无杂音,肝、脾不大。入院后首日给予青霉素800万u,静滴(滴速30滴/分)及丁胺卡那霉素0.4g加入10％萄葡20ml中以3～4ml/分速度静推完后约2分钟,病人突然出现严重呼吸困难,大汗淋漓,面色青紫,烦燥不安,无发热及寒战。查体:血压12/6Kpa,两肺满布干、湿性罗音,心率132次/分,心律规则,疑为青霉素过敏所致,立即停药,给予肾上腺素皮下注射,静推地塞米松及吸氧,强心,利尿等处理,约10余分钟后,
Patient, female, 49 years old. Due to cough, expectoration with wheezing 4 months admitted to hospital. Admission was diagnosed as bronchial asthma. Physical examination: the general situation is good, lungs breath sounds thick, can smell a little wheeze, heart rate 90 / min, heart rate Qi, heart sound powerful no noise, liver, spleen not. On the first day after admission penicillin 8000000 u, intravenous drip (drip 30 drops / min) and amikacin 0.4g 10% grape 20ml to 3 ~ 4ml / min speed after about 2 minutes , The patient suddenly developed severe respiratory problems, sweating, looking bruising, irritability, fever and chills. Examination: blood pressure 12 / 6Kpa, lungs covered with dry, wet rales, heart rate 132 beats / min, heart rate rules, suspected of penicillin allergy caused by immediate withdrawal, given epinephrine subcutaneous injection of intravenous dexamethasone and Oxygen, cardiac, diuretic and other treatment, about 10 minutes later,