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男患,42岁.因发热肌注复方奎宁2ml后15分钟突然胸闷、大汗、喘息、尿失禁,Bp10.7/8kPa(80/60mmHg)、R38次。两肺可闻及干性啰音,心率140次,律齐.既往无支气管哮喘病史。按过敏性休克立即吸氧、输液、静注地塞米松10mg,氨茶硷0.25,肌注苯海拉明20mg,半小时后胸闷、气喘明显减轻,Bp13.3/9.3kPa(100/70mmHg).二小时后Bp16/10.1kPa(120/76mmHg),观察24小时无波动。本例据肌注复方奎宁后胸闷、喘息、休克等症状
Male suffering, aged 42. Sudden chest tightness, sweating, wheezing, urinary incontinence, Bp10.7 / 8kPa (80 / 60mmHg), R38 times 15 minutes after fever quinin injection of quinine 2ml. Two lungs can be heard and dry rales, heart rate 140 times, law Qi. Past history of bronchial asthma. According to anaphylactic shock immediately oxygen, infusion, intravenous dexamethasone 10mg, aminophylline 0.25, intramuscular injection of diphenhydramine 20mg, half an hour after chest tightness, asthma significantly reduced, Bp13.3 / 9.3kPa (100 / 70mmHg) Two hours later Bp16 / 10.1kPa (120 / 76mmHg), observed no fluctuations in 24 hours. In this case, intramuscular injection of quinine after chest tightness, wheezing, shock and other symptoms