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李某,女性,28岁,血型B型。于1991年12月11日,献血400 ml后提取血浆200 ml,主将AB型血球200 ml回输,即刻出现胸闷大汗,呼吸急促,心悸,血压下降(10.7/5.3 kPa),发生溶血反应。给予吸氧、抗休克治疗,1小时后血压回升(12.0/8.0 kPa),给予利尿剂,排尿400 ml。静点氯化钾1.0 g后胸闷、心悸加重,血压再次下降,ECG提示阵发性室上性心动过速(PSVT),转入内科。
Lee, female, 28 years old, blood type B type. On December 11, 1991, 200 ml blood plasma was extracted from 400 ml donated blood and the main blood vessel of type AB was transfused 200 ml. Immediate chest tightness and sweating, shortness of breath, heart palpitations and blood pressure drop (10.7 / 5.3 kPa) resulted in hemolytic reaction. Give oxygen, anti-shock treatment, blood pressure rise after 1 hour (12.0 / 8.0 kPa), given diuretics, micturition 400 ml. Static potassium chloride 1.0 g after chest tightness, palpitations increased, blood pressure dropped again, ECG prompts paroxysmal supraventricular tachycardia (PSVT), into the internal medicine.