论文部分内容阅读
患者,男、41岁,工人,因右小腿开放性骨折行清创钢板内固定术后,应用柱晶白霉素0.8克(80万单位),(有青霉素过敏史),按规定稀释后加入5％葡萄糖500ml中静滴,每分钟60滴,在滴入10分钟后出现心慌、胸闷、全身不适,停药按输液反应给予地塞米松10毫克静推后缓解。因考虑为输液反应故第2天再次用同法给予白霉素静滴,在5分钟后出现心慌、胸闷、呼吸困难。检查:意识清,面色苍白,口唇紫绀,脉搏102次/分,血压I2/8kpa。立即按过敏性休克抢救,
Patient, male, 41 years old, worker, debridement plate fixation due to open fracture of the right leg, application of leucomalamin 0.8 g (800 000 units), (with penicillin allergy history), according to the provisions of dilution 5% glucose 500ml intravenous infusion, 60 drops per minute, palpitation, chest tightness, general malaise after 10 minutes of infusion, withdrawal according to the infusion reaction to dexamethasone 10 mg after the static push relief. Due to consider the infusion reaction so the second day again with the law to give intravenous leukorrhea, palpitation after 5 minutes, chest tightness, difficulty breathing. Check: Consciousness, pale, lips cyanosis, pulse 102 beats / min, blood pressure I2 / 8kpa. Immediately by anaphylactic shock rescue,