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患者,男,62岁。以冠心病(心绞痛)于1994年4月12日入院。给予复方丹参片、消心痛、倍他乐克口服,治疗5天,患者仍有胸闷发作,心电图无变化。即另加脉络宁(5%葡萄糖500ml+脉络宁20ml)静脉滴注,当液体滴至1/3时,患者突然出现寒颤、烦躁,继之面色苍白、出冷汗、四肢厥冷,血压7.5/4.0kPa,心率35次/分。即刻给予吸氧,静脉推注肾上腺素0.5mg,阿托品2.0mg,静脉滴注多巴胺升压,地塞米松20mg静脉注射及其它急救处理。30分钟后症状缓解,血压回升至12.0/8.0kPa,心率75次/分。第二天停多巴胺静脉滴注,第3、4天血压稳定在20~
Patient, male, 62 years old. Coronary heart disease (angina) was admitted on April 12, 1994. Given compound Danshen tablets, anti-heart pain, Betaloc orally, for 5 days, patients still have chest distress episodes, ECG no change. That is to say, plus Mailolinate (500ml of 5% dextrose and 20ml of Mailuoning 20ml) is given intravenously. When the liquid drops to 1/3, the patient suddenly appears chills and irritability, then pale, cold and sweat, extremities and blood pressure 7.5 / 4.0 kPa, heart rate 35 beats / min. Immediately give oxygen, intravenous injection of epinephrine 0.5mg, atropine 2.0mg, intravenous dopamine boost, intravenous dexamethasone 20mg and other emergency treatment. Symptoms were relieved 30 minutes later, blood pressure rose to 12.0 / 8.0kPa and heart rate 75 beats / min. The next day to stop dopamine intravenous infusion, 3,4 days blood pressure stabilized at 20 ~