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患者女,24岁。因发热咳嗽4天于2000年6月17日来院门诊,无恶心、呕吐、腹痛及腹泻。查体:T 37.7℃,咽部充血明显,咽后壁淋巴滤泡增生。心、肺听诊正常。腹平软,肝、脾未见肿大,肠鸣音正常。血 WBC 7.8×10~9/L,N 0.75,L0.25。尿常规正常。用穿琥宁注射液0.4g加入5%葡萄糖注射液250ml中静滴,丁胺卡那注射液0.4g加入5%葡萄糖注射液250ml静滴。静脉滴往穿琥宁约10min后,患者骤发脐周阵痛,恶心呕吐1次,为胃内容物及清水样液。查体:面色苍白,HR 78次/min,律齐,两肺呼吸音正常,BP 120/71mmHg,腹软,脐周轻压痛,肠鸣音亢进,全身皮肤无皮疹。减慢穿琥宁滴速,观察5min,患者腹痛难以忍受,立即停输穿琥宁,予654—2注射液
Female patient, 24 years old. 4 days due to fever Cough came to the hospital on June 17, 2000, no nausea, vomiting, abdominal pain and diarrhea. Examination: T 37.7 ℃, throat congestion was obvious, pharyngeal lymphoid follicular hyperplasia. Heart, lung auscultation normal. Abdomen soft, liver, spleen no enlargement, normal bowel sounds. Blood WBC 7.8 × 10 ~ 9 / L, N 0.75, L0.25. Urine routine normal. With chuanhuning injection 0.4g 5% glucose injection 250ml intravenous infusion of amikacin injection 0.4g 5% glucose injection 250ml intravenous infusion. After intravenous drip to chuanhuning about 10min, the patient sudden onset of umbilicus pain, nausea and vomiting 1, for the stomach contents and water samples. Physical examination: pale, HR 78 beats / min, law Qi, normal lung breath sounds, BP 120 / 71mmHg, abdominal soft, umbilical tenderness, bowel sounds hyperthyroidism, no skin rash. Chuanhuning drip slowed down to observe 5min, patients with abdominal pain unbearable, immediately stop Chuanhuning, to 654-2 injection