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男患,24岁。因头昏、乏力、血压高入院,测Bp 21.3/16kPa,心肺(-)经一般治疗,Bp浓动在21.3～22.7/14.7～17.3 kPa.口服心痛定10mg,2.5小时后出现全身瘙痒,继而出现全身荨麻疹,以双上肢内侧为甚。1小时后恶心呕吐,全身冒冷汗,胸闷难受.查体见面色苍白,肢体湿冷,心音低钝,心率120次/分,Bp8/0kaP.立即将患者平卧,肌注肾上腺素0.5mg,地塞米松10mg加入50%葡萄糖40ml中静推。注射20分钟后,面色恢复常态,肢体转温,脉搏有力,每分钟84次,注射40分钟后Bp升至21,3/14,9kPa.继续用10%的
Male suffering, 24 years old. Due to dizziness, weakness, high blood pressure admission, measured Bp 21.3 / 16kPa, cardiopulmonary (-) by the general treatment, Bp concentration in the 21.3 ~ 22.7 / 14.7 ~ 17.3 kPa oral heartache given 10mg, 2.5 hours after systemic pruritus, and then Whole body urticaria appears to the upper extremity medial even. 1 hour after the nausea and vomiting, body cold sweat, chest tightness uncomfortable .Check the body to see the pale, cold limbs, heart sound low blunt, heart rate 120 beats / min, the patient supine, intramuscular epinephrine 0.5mg, to Dexamethasone 10mg added 50% glucose 40ml in the static push. 20 minutes after injection, the complexion returned to normal, body temperature, powerful pulse 84 times per minute, 40 minutes after injection of Bp rose to 21,3 / 14,9kPa continue to use 10%