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1例75岁女性患者因腰椎手术后预防感染给予盐酸莫西沙星注射液0.4 g(250ml)静脉滴注。用药约10 min后,患者突感全身不适,皮肤湿冷,大汗,心率130次/min,呼吸26次/min,血压57/37 mmHg(1 mmHg=0.133 kPa)。考虑为莫西沙星导致的过敏性休克,立即停用莫西沙星,给予心电监护、鼻导管吸氧、先后静脉注射盐酸肾上腺素注射液0.5 mg、呋塞米注射液10 mg、硝酸甘油注射液2.5 mg,酒石酸美托洛尔片12.5 mg舌下含服。80 min后症状缓解,心率88次/min、呼吸18次/min,血压95/54 mmHg。“,”A 75-year-old female patient received an intravenous infusion of moxifloxacin hydrochloride injection 0.4 g for prevention of infections after lumbar operation. About 10 minutes later, the patient developed sudden general discomfort, wet and cold skin, drenching sweats. Meanwhile her heart rate was 130 beats/min, breath rate was 26 times/min, and blood pressure was 57/37 mmHg. Anaphylactic shock caused by moxifloxacin was considered. Moxifloxacin was stopped immediately, ECG monitoring and oxygen inhalation through nasal catheter were given. Then, intravenous injection of adrenaline hydrochloride injection 0.5 mg, furosemide injection 10 mg, nitroglycerin injection 2.5 mg, and sublingual metoprolol tartrate tablet 12.5 mg were given successively. After 80 minutes, the patient′s symptoms relieved, with heart rate 88 beats/min, breath rate 18 times/min, and blood pressure 95/54 mmHg.