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患者李某,42岁,女,住院号26695。因胆结石急性发作入院,于行胆囊切除术前使用氨苄青霉素钠6g,加生理盐水300ml中静脉滴注,bi也术后续用药5d,停药3d后全身出现严重皮疹(鼻腔、会阴部、肠粘膜水肿、腹泻等、躯干部丘疹最多),奇痒难忍。经皮肤科会诊,考虑为氨苄青霉素钠过敏所致,停用氨苄青霉素钠。给氢化可的松注射液300mg加5%葡萄糖注射液300ml中,qd静滴,连用3d后,躯干部皮疹消退,瘙痒减轻。停用氢化可的松后第3d,病人自己发现双侧乳房有乳汁流出,挤压乳房时,乳汁呈喷射状喷出,
Patient Lee, 42 years old, female, hospital number 26695. Acute onset of gallbladder admitted to the hospital before the cholecystectomy ampicillin sodium 6g, plus saline 300ml intravenous infusion, bi also surgery follow-up medication 5d, the withdrawal of 3d systemic severe rash (nasal cavity, perineum, Intestinal mucosal edema, diarrhea, etc., most trunk torso), itchy unbearable. Dermatology consultation, consider ampicillin sodium allergy due to disable ampicillin sodium. Give hydrocortisone 300mg injection plus 5% glucose injection 300ml, qd intravenous infusion, even 3d, the trunk rash subsided, itching to reduce. 3d after stopping the use of hydrocortisone, the patient himself found outflow of breast milk on both sides of the breast, squeeze the breast, the jet was sprayed milk,