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患者,男性,50岁。主因左下肢疼痛9天,于1997年1月9日入院。因9天前外出受寒后左下肢疼痛伴左小腿胀感致活动受限。查体:神清语利,走路左跛行,左下肢肢腿抬高试验阳性。诊断为坐骨神经痛,医嘱给脉通500ml,复方丹参注射液16ml,胞二磷胆碱0.5静脉滴注。当日输液顺利,无不良反应,次日输液至200ml时,病人突然出现寒战,发热T38℃,P 100次/min,伴恶心,呕吐,呕吐物为胃内容物,立即给氟美松5mg入壶,1小时后症状缓解,体温逐渐降至正常。 晚上10:40病人出现烦躁、大汗、恶心、呕吐多次,血压下降至8/6kPa,即给间羟胺20mg,多巴胺
Patient, male, 50 years old. The main left lower extremity pain nine days, January 9, 1997 admission. 9 days ago due to cold left leg pain with left leg swelling caused by limited activities. Physical examination: God Qing language profits, left limp walk, leg raising test left leg positive. Diagnosis of sciatica, doctor’s advice to pulse through 500ml, compound Danshen injection 16ml, citicoline 0.5 intravenous infusion. Infusion on the same day smooth, no adverse reactions, infusion 200ml the next day, the patient suddenly appeared chills, fever T38 ℃, P100 beats / min, with nausea, vomiting, vomit for the stomach contents immediately to the flumethasone 5mg into the pot After 1 hour, the symptoms were relieved and the temperature gradually dropped to normal. 10:40 patients at night irritability, sweating, nausea, vomiting many times, blood pressure dropped to 8 / 6kPa, that is, given 20mg of hydroxylamine, dopamine