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患儿男,4岁,于1997年10月22日首次接种流行性脑脊髓膜炎疫苗,15min,患儿突然全身瘙痒,面色苍白,口唇发绀,呼吸急促,烦躁不安,急来院抢救.既往无药物过敏史.体检:神志清,痛苦面容,脉搏摸不清,心率135次/min,四肢末端发凉发绀.立即平卧,保暖;保持安静,皮下注射肾上腺素1mg,肌内注射异丙嗪20mg,同时给氧气吸入,又给10%葡萄糖注射液250mL、10%葡萄糖酸钙10mL、维生素C2g,地塞米松10mg静滴,15min后症状好转,四肢皮肤温暖,面色红润,3h后痊愈出院.接种流行性脑脊髓膜炎疫苗后血清中抗体效价
Children, male, aged 4, were vaccinated against encephalitis meningitis for the first time on October 22, 1997. After 15 minutes, the child suddenly had systemic itching, pale face, cyanotic lips, shortness of breath, restlessness, and emergency hospitalization. Drug allergy. Physical examination: conscious, painful face, pulse puzzled, heart rate 135 beats / min, extremities cool hair cyanosis. Immediate supine, warm; remain quiet, subcutaneous injection of epinephrine 1mg, intramuscular injection of promethazine 20mg, while giving oxygen inhalation, give 10% glucose injection 250mL, 10% calcium gluconate 10mL, vitamin C2g, dexamethasone 10mg intravenous infusion, 15min after the symptoms improved, limbs warm skin, ruddy, 3h discharged. Antibody titers in serum after vaccination against epidemic cerebrospinal meningitis