病例介绍患者女,51岁。1990年7月18日因咽痛,声音嘶哑、咳嗽至保健科就诊。患者体温37.7℃,以往有青霉素过敏史,给予口服乙酰螺旋霉素0.2g一日三次,患者口服四次后无不良反应,于次日下午6时服用该药物30分钟后,即感全身不适,腹部有紧缩感,继而出现战栗、胸闷、气短,给予吸氧,并 Case description Female patient, 51 years old. July 18, 1990 due to sore throat, hoarse voice, cough to health care. Patients with body temperature 37.7 ℃, the past history of penicillin allergy given oral acetylspiramycin 0.2g three times a day, patients with oral adverse reactions four times, the next day at 6 pm after taking the drug for 30 minutes, that sense of general malaise, Abdominal tightening, followed by shivering, chest tightness, shortness of breath, given oxygen, and