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张某,男性,41岁,汉族。既往健康,原来有牛奶、豆浆过敏史。1991年1月2日中午11时50分,进食豆浆约120ml。10min后即感全身不适,肌肉发紧,胸闷憋气。立即自用手指挖咽部催吐、奔走来诊。检查:面色苍白,神智恍惚,唇发绀,脉搏细弱、难以扪及,血压5.3/2.4kPa(40/20mmHg)。诊断:过敏性休克。即给吸O_2,盐酸肾上腺素1mg肌注,静注地塞米松10mg,苯海拉明20mg,并予5％葡萄糖盐水加阿拉明20mg、多巴胺20mg静滴。在抢救过程中,患者频频呕吐,为胃内容物。经20min抢救,血压升至12/8kPa(90/60mmHg)。检查胸腹躯体可见疏密不均的荨麻疹,压之退色。患者仍诉喉
Zhang, male, 41 years old, Han nationality. Past health, the original milk, milk allergy history. January 2, 1991 11:50, eating about 120ml soya-bean milk. Immediate feeling of discomfort after 10min, muscle tightness, chest tightness, suffocation. Immediately dig their own pharynx finger vomiting, running to the clinic. Check: pale, delirium, lips cyanosis, weak pulse, palpable, blood pressure 5.3 / 2.4kPa (40 / 20mmHg). Diagnosis: Anaphylactic shock. Namely inhale O_2, 1mg intramuscular injection of epinephrine hydrochloride, intravenous injection of dexamethasone 10mg, diphenhydramine 20mg, and to 5% dextrose plus Alaramine 20mg, 20mg intravenous infusion of dopamine. In the rescue process, patients vomit frequently, as stomach contents. After 20min rescue, blood pressure rose to 12 / 8kPa (90 / 60mmHg). Check the chest and abdomen showed uneven density of urticaria, the pressure of the fade. Patients still vomit throat