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患者女,15岁。因咳嗽、恶心、呕吐、食欲不振来院就诊,诊断为气管炎并消化不良而入院。 治疗经过:首先给5％葡萄糖盐水500ml;加10％氯化钾10ml;青霉素400万单位静脉滴注,维生素K_130mg加入滴管。患者经青霉素皮试后输液加青霉素及氯化钾,1/2h后又给维生素K_130mg加滴管,2min后突然出现胸闷憋气,全身麻大,此时病人颜面潮红,大汗淋漓,烦躁不安,极度呼吸困难。查体:被动体位,四肢湿冷,脉搏细弱,血压下降至9/7KPa,呼吸38次/min。即给吸氧,去甲肾上腺素0.5mg皮下注射,氟美松10mg静脉注射及非那根25mg肌注。40min后血压升至14/10KPa。但病人仍烦躁不安,语无伦次,胸闷,上
Female patient, 15 years old. Due to cough, nausea, vomiting, loss of appetite to the hospital for treatment, diagnosis of bronchitis and indigestion and admission. After treatment: first to 5% glucose saline 500ml; plus 10% potassium chloride 10ml; penicillin 4 million units intravenous infusion of vitamin K_130mg added to the dropper. Patients with penicillin skin test after transfusion plus penicillin and potassium chloride, 1 / 2h and vitamin K_130mg plus dropper, 2min suddenly appeared chest tightness, suffocation, general anesthesia, the patient facial flushing, sweating, irritability, Extreme difficulty breathing. Physical examination: passive position, cold limbs, weak pulse, blood pressure dropped to 9 / 7KPa, breathing 38 times / min. That is to give oxygen, norepinephrine 0.5mg subcutaneous injection, 10mg dexamethasone intravenous and non-injection of 25mg intramuscular injection. After 40min blood pressure rose to 14 / 10KPa. But the patient is still irritable, incoherent, chest tightness, on