论文部分内容阅读
患者,男,35岁。因患化脓性扁桃炎合并上呼吸道感染。于1991年5月8日来院治疗,护士遵医嘱静滴5%GS500ml,加洁霉素1.8g,以每分钟70滴的速度,滴入5分钟时,患者感觉脑晕,继之胸闷、心悸、憋气,呼吸急促,唇绀,大汗淋漓,烦燥不安,全身皮肤起大小不等的草麻疹,测脉搏细弱120/分,血压8.0/4.0kpa。立即按过敏性休克进行抢救,停止静滴吸氧,皮下注射肾上腺素0.5mg,肌注非那根25mg,静推地塞米松10mg及10%葡萄糖酸钙10ml。30分钟后病情有所好转,
Patient, male, 35 years old. Suffering from pyogenic tonsillitis with upper respiratory tract infection. On May 8, 1991 to the hospital for treatment, the nurses prescribed doctor’s advice intravenous infusion of 5% GS500ml, plus lincomycin 1.8g, 70 drops per minute speed, dropping 5 minutes, the patient feels a cerebral apoplexy, followed by chest tightness, heart palpitations , Suffocation, shortness of breath, cyanosis, sweating, irritability, body skin ranging from the size of the measles measles, measured pulse weak 120 / min, blood pressure 8.0 / 4.0kpa. Immediately by anaphylactic shock rescue, stop intravenous infusion of oxygen, subcutaneous injection of epinephrine 0.5mg, intramuscular injection of non-root 25mg, intravenous dexamethasone 10mg and 10% calcium gluconate 10ml. 30 minutes after the condition has improved,