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1 病历摘要患者,男,47岁,因支气管哮喘伴高热,应用青霉素静滴治疗效果较差,应患者要求(该患者为医务人员)改用菌必治静推、无青霉素过敏史,故未作皮试,静推菌必治约5分钟左右,患者出现胸闷、呼吸困难,立即停止推注,继而患者出现口唇发绀等一系列过敏体征,查体呼吸28次/分,心率120次/分,血压8/4kPa,立即给予氧气吸入,肌注肾上腺素,静推氟米松100ml,静推50％葡萄糖20ml加10％的葡萄糖酸钙10ml,约30分钟后,患者逐渐好转,血压、呼吸、心率恢复
1 patient history Abstract Male, 47 years old, due to bronchial asthma with high fever, the application of penicillin intravenous infusion of treatment less effective, should be required by the patient (the patient is a medical staff) switch to the use of bacitracin push, no history of penicillin allergy, it is not For the skin test, static bacteria will cure about 5 minutes, patients with chest tightness, difficulty breathing, immediately stop the bolus, followed by patients with a series of lips cyanosis and other signs of allergies, physical examination breathing 28 beats / min, heart rate 120 beats / min , Blood pressure 8 / 4kPa, immediately given oxygen inhalation, intramuscular injection of epinephrine, intravenous fluomipramine 100ml, static push 50% glucose 20ml plus 10% calcium gluconate 10ml, about 30 minutes later, the patient gradually improved, blood pressure, Heart rate recovery