1病例介绍患者，女，44岁。主因右肘部无明显外伤后疼痛，活动受限2周于1997年6月2日就诊，诊为右防骨外上课炎。常规消毒后，于痛点注射醋酸氢化泼尼松混是液（上海第9制药厂）25mg，利多卡因4ml。注后约2分钟，患者感恶心、胸闷气短，继之面色苍白，呼吸急促，四肢发凉，意识 1 case description Patient, female, 44 years old. The main reason for the right elbow no significant traumatic pain, limited activity 2 weeks in June 2, 1997 treatment, diagnosed as right anti-bone inflammation outside the class. After routine disinfection, injected at the pain point of hydrogenated prednisone acetate solution (Shanghai Pharmaceutical Factory No. 9) 25mg, lidocaine 4ml. About 2 minutes after the note, the patient nausea, chest tightness, shortness of breath, followed by pale, shortness of breath, cold extremities, awareness