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1病例报告患者男,25岁。因初上高原出现头痛、头晕、心悸、气短等高原缺氧症状来医务室就诊。在吸氧的同时,给予香丹注射液20ml加5%葡萄糖注射液250ml静脉滴注。静脉滴注约5min,患者出现头晕恶心、呼吸困难、视物不清等症状。查体:面色苍白、四肢湿冷、脉搏细速、口唇及甲床发绀、呼吸浅快、意识不清,血压70/30mmHg,心率120/min,律齐。双肺未闻及干湿啰音。考虑为静滴香丹注射液所致过敏性休克。立即停止输液,调整吸氧流量,保持呼吸道通畅,给予0.1%肾上腺素1mg
1 case report Patient male, 25 years old. Due to early headache, dizziness, palpitations, shortness of breath and other symptoms of plateau hypoxia to the clinic for treatment. Oxygen in the same time, giving Xiangdan injection 20ml plus 5% glucose injection 250ml intravenous infusion. About 5min intravenous infusion, patients with dizziness, nausea, difficulty breathing, blurred vision and other symptoms. Physical examination: pale, cold limbs, pulse speed, lips and nail bed cyanosis, breathing shallow, unconsciousness, blood pressure 70 / 30mmHg, heart rate 120 / min, law Qi. Unhealthy lungs and wet rales. Consider intravenous Xiangdan injection due to anaphylactic shock. Immediately stop infusion, adjust oxygen flow, keep the airway clear, given 0.1% epinephrine 1mg