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病例介绍:患者男,18岁。双腹股沟部红、肿、热、痛。体温38.8℃、白细胞11.2×10~9/L、中性0.86、淋巴0.12。诊断为急性腹股沟淋巴结炎。青霉素皮试(一)。予以5%葡萄糖氯化钠500ml加青霉素480万单位,灭滴灵200ml,5%葡萄糖500ml加维生素C 3g静脉滴注,每日一次。第1、2天均无任何反应,第3天同样输入上述药物,输至灭滴灵组时,患者突感全身皮肤发痒、发红、胸腹部出现皮疹,呼吸困难。即停止输液。立即给予皮下注射肾上腺素,氨茶碱静脉滴注。查血压22/10 kPa,脉搏120
Case description: Patient male, 18 years old. Double groin red, swollen, hot, painful. Body temperature 38.8 ℃, white blood cells 11.2 × 10 ~ 9 / L, neutral 0.86, lymph 0.12. Diagnosis of acute inguinal lymphadenitis. Penicillin skin test (a). To 5% glucose and 500ml of sodium chloride plus penicillin 4.8 million units, metronidazole 200ml, 5% glucose 500ml plus vitamin C 3g intravenous infusion once daily. On the first day and the second day, there was no reaction. On the third day, the same drug was also imported. When the drug was delivered to the metronidazole group, the patient suddenly felt itchy and reddening of the whole body skin. A rash appeared on his thorax and abdomen with difficulty breathing. Stop the infusion. Immediate subcutaneous injection of epinephrine, intravenous infusion of aminophylline. Check blood pressure 22/10 kPa, pulse 120