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患者女,29岁,已婚。因腹部不适,自服吡哌酸2片,数分钟后突然头晕、心悸、出冷汗、肢冷、皮肤潮红、下腹疼痛,并腹泻1次,为黄色稀便,无脓血。无停经史,既往无糖尿病、肝肾疾病及铅接触史,否认药物过敏史。查体:T36℃,R24次,P130次,BP5.3/OkPa。神清,皮肤潮红,面色灰白,两侧瞳孔等大,对光反射存在;口唇紫绀,颈软。双肺(一),心率130次,律齐·无杂音。腹平,未见肠型及蠕动波,上腹软,肝脾(一);脐以下弥漫性痛,反跳痛(士),未触及肿物。克氏征(一),巴彬斯基征(一)。实验室检
Patient female, 29 years old, married. Due to abdominal discomfort, self-serving piperacillin 2, a few minutes after a sudden dizziness, palpitations, cold sweats, cold limbs, skin flushing, abdominal pain, and diarrhea 1, yellow loose stools, no abscess blood. No stop-stop history, past no diabetes, liver and kidney disease and lead exposure history, denied the history of drug allergy. Physical examination: T36 ℃, R24 times, P130 times, BP5.3 / OkPa. God clear, the skin flush, pale gray, large pupils on both sides, the presence of light reflection; lips cyanosis, neck soft. Double lung (a), heart rate 130 times, law Qi · no noise. Abdominal flat, no intestinal and peristaltic waves, abdominal soft, liver and spleen (a); diffuse umbilical pain, rebound pain (disabilities), did not touch the tumor. Kirschner Sign (a), Babinski sign (a). Laboratory test