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例1,患儿,男,3岁。患儿因感冒在私人诊所用洁霉素1支肌注。肌注后出现面色苍白、口唇青紫、大汗淋漓、呼吸急促、口吐粘沫,急诊入我院。查体:神志昏迷、面色苍白、口唇紫绀、皮肤湿冷、脉搏细微不规律、潮式呼吸。血压测不出。两肺有密集的小水泡音。心尖搏动不明显,心电图示室上性心动过速300次/分。诊断为洁霉素过敏性休克。紧急给氧,95％葡萄糖500ml加利多卡因500mg、氢化可的松60mg静脉滴注,西地兰0.1mg入
Example 1, children, male, 3 years old. Children with influenza in private clinics with lincomycin 1 intramuscular injection. Appear pale after intramuscular injection, bruising lips, sweating, shortness of breath, vomit sticky foam, emergency room into our hospital. Physical examination: mind coma, pale, lips cyanosis, skin wet and cold, pulse subtle irregular, tidal breathing. Blood pressure can not be measured. There are dense small blisters on both lungs. Apex beat is not obvious, supraventricular electrocardiogram tachycardia 300 beats / min. Diagnosed with lincomycin anaphylactic shock. Emergency oxygen, 500% of 95% glucose plus lidocaine 500mg, hydrocortisone 60mg intravenous infusion of cedilanzine 0.1mg into