患者,女,33岁,工人,于1992年2月17日就诊,因“结肠炎”给予庆大霉素8万单位。每日两次肌肉注射。第一次注射后无任何反应,当第二次注射3分钟后,患者突觉站立不稳,头昏、头痛、眼花、恶心、胸闷。查体:面色苍白,呼吸急促,表情淡漠,大汗淋漓,手足厥冷,脉细数,血压10.7/8.0Kpa,诊断:过敏性休克。立即肌注肾上腺素1mg,25％葡萄糖20ml,地塞米松10mg静注,20分钟后症状好转,血压回升至16/9.3Kpa,90分钟后症状全部消失。 Patient, female, 33 years old, worker, visited on February 17, 1992 and gave gentamicin 80000 units for colitis. Twice daily intramuscular injection. After the first injection without any response, when the second injection of 3 minutes, the patient suddenly standstills, dizziness, headache, vertigo, nausea, chest tightness. Physical examination: pale, shortness of breath, apathy, sweating, hand, foot and cold, pulse breakdown, blood pressure 10.7 / 8.0Kpa, diagnosis: anaphylactic shock. Immediate intramuscular injection of epinephrine 1mg, 25% glucose 20ml, dexamethasone 10mg intravenous injection, symptoms improved after 20 minutes, blood pressure rose to 16 / 9.3Kpa, 90 minutes after the symptoms disappeared.