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患者男,25岁,于1999年5月1日夜间因皮肤疖肿、自行口服头孢氨苄0.75g,服药后数分钟即觉面部潮红,全身不适,恶心呕吐,并觉心里难受,速来院急诊。查体,面色潮红、皮肤有荨麻疹,神态恍惚,BP40/20mmHg ,心率120次/min,律齐,心电图示窦性心动过速,立即吸氧。肾上腺素1mg肌注、苯海拉明20mg肌注,氟美松10mg,肌注,建立输液通路,0.9％氯化钠注射液250ml加氢化可的松虎珀酸钠200mg,多巴胺60mg静滴,另一通路输 706代血浆 500ml,心电监护等治疗,1h后血压回升120/80mmHg,自觉症状好转,继续留观治疗,于5月2日中午恢复正常出院。患者5年前曾有过口服“头孢
Patient Male, 25 years old, was exposed to cephalexin 0.75 g orally on the night of May 1, 1999. After several minutes of taking the medicine, he felt facial flushing, general malaise, nausea and vomiting, and felt uncomfortable in his heart. Physical examination, flushed, urticaria skin, trance, BP40 / 20mmHg, heart rate 120 beats / min, law Qi, ECG showed sinus tachycardia, oxygen immediately. Adrenaline 1mg intramuscular injection, diphenhydramine 20mg intramuscular injection, flumexone 10mg, intramuscular injection, the establishment of infusion channel, 0.9% sodium chloride injection 250ml hydrogenated cortisone sodium succinate 200mg, 60mg intravenous dopamine , The other channel lost 706 on behalf of the plasma 500ml, ECG monitoring and other treatment, blood pressure rise 1h after 120 / 80mmHg, subjective symptoms improved, continue to observe the treatment, at noon on May 2 return to normal discharge. Patients had oral "cephalosporins 5 years ago