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患者男,36岁。因眩晕,视物旋转,恶心,呕吐三天,以美尼尔氏综合征入院。入院时查体:体温、脉搏、呼吸,血压均正常。精神差,闭目卧床,双肺,腹部无异常。化验血尿常规,血生化及心电图检查均正常。给予维生素,血管扩张剂,晕海宁,静脉输入5%碳酸氢钠200ml.复方丹参注射液10ml等。次日,在给5%碳酸氢钠200ml静滴时,误将包装类同的氢化考的松注射液250mg当5%碳酸氢钠加入5%葡萄糖液500ml中静滴,以每分钟80滴的滴速输入,在输入约100ml时病人自感有酒味,头胀,全身发热,心慌,面色潮红表现。立即停输本组液体。测体温:36.7℃,脉搏:140次/分,呼吸:22次/分,血压:18/10KPa,即肌注非那根50mg,安定
Male patient, 36 years old. Due to dizziness, depending on the material rotation, nausea, vomiting for three days to hospital Meniere’s syndrome. Physical examination on admission: body temperature, pulse, respiration, blood pressure were normal. Poor spirit, closed eyes, lungs, abdomen without exception. Laboratory urine tests, blood biochemistry and electrocardiogram were normal. Give vitamins, vasodilators, halo Haining, intravenous infusion of 5% sodium bicarbonate 200ml. Compound Danshen injection 10ml and so on. The next day, to give 5% sodium bicarbonate 200ml intravenous infusion of the same package mistakenly hydrocortisone injection 250mg when 5% sodium bicarbonate added to 5% glucose solution 500ml intravenous infusion of 80 drops per minute Dropping speed input, enter the 100ml when the patient has a sense of alcohol, swell, body heat, palpitation, flushing performance. Stop this group of liquids immediately. Measured body temperature: 36.7 ℃, pulse: 140 beats / min, breathing: 22 beats / min, blood pressure: 18 / 10KPa,