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患者,男,53岁。因畏冷,乏力,全身酸痛,咽喉肿痛3d于2001年7月1日上午11时来医院就诊。查体,T38.4℃,神清,双侧扁桃体Ⅱ°肿大,无化脓;HR76次/min,律齐,两肺无干、湿啰音,诊为“上呼吸道感染”。经医师询问无任何药物过敏史后给予0.9％氯化钠溶液加头孢唑啉钠3.0g静滴,滴速70～75滴/min。约30秒后病人出现呛咳,喉咙堵塞感,胸闷,呼吸困难。检查:脉搏细弱,HR50次/min,BP75/42-mmHg,神志不清,面色暗红,口唇重度发绀,心音微弱。考虑为头孢唑啉钠引起的过敏反应。立即停止给药,同时吸氧,静脉给予肾上腺素、地塞米松、葡萄糖酸钙等抢救。病情不见好转后立即施行气管插管,行
Patient, male, 53 years old. Due to cold, fatigue, body aches, sore throat 3d on July 1, 2001 at 11 am to the hospital. Examination, T38.4 ℃, Shen Qing, bilateral tonsils Ⅱ ° enlargement, no suppuration; HR76 times / min, law Qi, lungs dry, wet rales, diagnosed as “upper respiratory tract infection.” After the doctor asked no history of any drug allergy 0.9% sodium chloride solution plus cefazolin sodium 3.0g infusion, drip rate of 70 to 75 drops / min. About 30 seconds after the patient appeared cough, throat blockage, chest tightness, difficulty breathing. Check: weak pulse, HR50 times / min, BP75 / 42-mmHg, confusion, dark complexion, severe cyanosis lips, weak heart sounds. Consider the allergic reaction caused by cefazolin sodium. Immediately stop the administration, while oxygen, intravenous epinephrine, dexamethasone, calcium gluconate and other rescue. Condition did not improve immediately after the endotracheal intubation, OK