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患者孟某,男,19岁,因畏寒、发热伴右上腹痛10天于1989年10月24日入院。做B超提示肝脓疡。11月6日在B超引导下进行肝穿,抽出80ml暗红色脓液。为控制感染,给用庆大霉素静脉滴注。于11月10日静滴庆大霉素时,约5分钟即引起过敏反应,出现过敏性休克。立即静注地塞米松10mg,皮下注射肾上腺素0.5mg并应用升血压药多巴胺,阿拉明静脉滴注,约20小时血压仍未恢复正常,考虑为血容量不足,所以加用低分子右旋糖酐静脉滴注。约10分钟后患者出现
Mengmou patients, male, 19 years old, due to chills, fever and right upper quadrant pain for 10 days in October 24, 1989 admission. Do B-Tip liver abscess. November 6 in B-guided liver puncture, remove 80ml dark red pus. To control the infection, give intravenous infusion of gentamicin. On November 10 intravenous gentamicin, about 5 minutes that cause an allergic reaction, anaphylactic shock. Immediate intravenous injection of dexamethasone 10mg, subcutaneous injection of epinephrine 0.5mg and the application of antihypertensive drugs dopamine, Alamin intravenous infusion, about 20 hours blood pressure has not returned to normal, consider insufficient blood volume, so add low molecular weight dextran intravenous drip Note. The patient appears after about 10 minutes