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患者男性,50岁,因双侧鼻息肉要求手术治疗入院。既往无药物过敏史,心肺功能正常,一般情况好,拟在表面麻醉下行双侧鼻息肉摘除术。术前应用1%丁卡因棉片麻醉2次,取出棉片准备手术时,患者出现气急,胸闷,呼吸困难,心悸,双上肢抽搐震颤,呼吸26次/min,浅而不规则,面色苍白,脉细弱,120～150次/min,血压10/7kp。初步诊断:丁卡因过敏。治疗:立即吸氧,静脉推注0.1%肾上腺素0.5mg,
Male patient, 50 years old, admitted to hospital for surgical treatment of bilateral nasal polyps. Past history of drug allergy, normal cardiopulmonary function, the general situation is good, to be under the surface anesthesia bilateral nasal polyps removal. Preoperative application of 1% tetracaine anesthesia 2 times, remove the cotton preparation for surgery, patients with shortness of breath, chest tightness, difficulty breathing, heart palpitations, tremor in both upper extremities convulsions, breathing 26 beats / min, shallow and irregular, pale , Pulse weak, 120 ~ 150 times / min, blood pressure 10 / 7kp. Initial diagnosis: tetracaine allergy. Treatment: Immediate oxygen, intravenous injection of 0.1% epinephrine 0.5mg,