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患者,男,50岁。因皮肤擦伤合并感染两天就诊。查体:发育营养一般,神志清晰。左肘部表皮擦伤,附少许粘液样脓苔。心、肺正常。血压16/10kPa。腹平软,肝、脾不大。给青霉素320万u静脉注射(皮试阴性),约1min后患者胸闷、心慌、喉部阻塞感,随后大汗淋漓、呼吸困难、胸部紧压感。口唇微绀,四肢逆冷,血压8/4kPa,脉搏不清。心电图为窦性心动过速(心率130次/min)。给静脉注射地塞米松10mg、大剂量维生索C、静脉点滴氢化考的松
Patient, male, 50 years old. Due to skin abrasions with infection two days treatment. Physical examination: developmental nutrition in general, conscious. Scratch the left elbow epidermis, with a small mucus-like pus moss. Heart, lungs normal. Blood pressure 16 / 10kPa. Abdomen soft, liver, spleen is not large. Penicillin 3.2 million u intravenous injection (skin test negative), about 1min after patients with chest tightness, palpitation, throat obstruction, followed by sweating, difficulty breathing, chest tightness. Micro-cyan lips, limbs cold, blood pressure 8 / 4kPa, pulse is not clear. Electrocardiogram is sinus tachycardia (heart rate 130 beats / min). To intravenous injection of dexamethasone 10mg, high-dose vitamin C, intravenous hydrocortisone test