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汤某某,男,30岁,1993年9月6日不慎划破手,来我院就诊。因伤口较深,包扎后给予破伤风抗毒素(TAT)1500U。皮试20分钟后,局部皮肤发红,当时给予少量多次脱敏注射。首先皮下注射TAT0.1ml,大约5分钟左右患者全身皮肤刺痒,伴腹痛,呕时,皮疹,经抗过敏、输液等急救处理,于傍晚病情好转出院。2小时后,患者又复出现全身皮肤刺痒,关节酸痛,持续性腹痛,阵发性加重,呕吐,为少量胃内容物,泻少量稀粘便2次,又来医院急诊。既往无药物过敏史。查体:体温37℃,脉搏86次/分,呼吸19次/分,血
Tang Moumou, male, 30 years old, September 6, 1993 accidentally cut his hand to our hospital. Due to the deeper wounds, tetanus antitoxin (TAT) 1500U was given after dressing. Skin test 20 minutes later, the local skin redness, was given a small amount of multiple desensitization injection. First subcutaneous injection of TAT0.1ml, about 5 minutes or so patients with systemic skin itching, with abdominal pain, vomiting, rash, anti-allergic, infusion and other emergency treatment, improved condition in the evening discharged. Two hours later, the patient again appeared systemic skin itching, joint pain, persistent abdominal pain, paroxysmal increase, vomiting, a small amount of stomach contents, diarrhea, a small amount of loose sticky 2 times, but also to the hospital emergency room. Past history of drug allergy. Physical examination: body temperature 37 ℃, pulse 86 beats / min, breathing 19 times / min, blood