1病历简介女，18岁。于1998年10月27日下午接种甲肝疫苗，在左臂上部三角肌附着处皮下注射。接种后第2天感觉注射部位胀、痛，按压略痛，肿胀面积约2cm×3cm，肿胀蔓延。第3天上述症状加重。检查：左上肢严重肿胀，肿胀部位上至肩部下至左手腕部，皮肤发红、发亮，并有搔痒及灼 1 medical records Female, 18 years old. On the afternoon of October 27, 1998, a hepatitis A vaccine was vaccinated and injected subcutaneously in the upper deltoid muscle of the left arm. On the second day after inoculation, the injection site was swollen, painful and slightly painful. The swollen area was about 2 cm × 3 cm and the swelling spread. Day 3 The above symptoms worsened. Check: severe swelling of the left upper extremity, swelling from the shoulder to the left wrist to the left, the skin redness, shiny, and there is itching and burning