患者:女,38岁,工人。因解柏油样便、心悸、头昏、乏力2天,大便隐血试验#,诊断上消化道出血。于1996年2月17日入院。入院后即进行止血、抗酸、输血、抗炎等综合治疗3天后大便转黄,大便稳血+。于1996年2月23日上午9时行胃镜病原检查前肌注硫酸阿托品0.5mg后10分钟自感头昏、头晕、头痛、视物不清、心悸、胸闷、面色苍白、四肢湿冷、唇周紫绀、渐昏迷、小便失禁。查体:心率150次/min,呼吸27次/min,血压0/0kPa,脉搏不清,心音低钝,律齐,诊断为阿托品致过敏性休克,立即静注低分子右旋糖酐500ml,非那根25mg肌注,5％糖盐水250mg加多巴胺40mg、阿拉明20mg静滴30滴/分,输鲜血400ml,吸氧、生命体征监护。1小时后症状渐减轻,2小时后心率、呼吸、血 Patient: Female, 38 years old, worker. Due to the solution of asphalt like, palpitations, dizziness, fatigue 2 days, fecal occult blood test #, diagnosis of upper gastrointestinal bleeding. Admitted to hospital on February 17, 1996. After admission to stop bleeding, anti-acid, blood transfusion, anti-inflammatory and other comprehensive treatment 3 days after the stool turn yellow stool +. At 23:00 on February 23, 1996 at 9:00 before endoscopy gastritis intramuscular injection of 0.5mg atropine sulfate after 10 minutes self-feeling dizzy, dizziness, headache, blurred vision, palpitations, chest tightness, pale, limbs cold, lip weeks Cyanosis, a coma, incontinence. Examination: heart rate 150 beats / min, breathing 27 beats / min, blood pressure 0 / 0kPa, pulse is not clear, low heart sound blunt, law Qi, diagnosed as atropine-induced anaphylactic shock, immediate intravenous infusion of low molecular weight dextran 500ml, 25mg intramuscular injection, 5% sugar saline 250mg dopamine 40mg, Alamin 20mg intravenous infusion of 30 drops / min, blood transfusion 400ml, oxygen, vital signs monitoring. After 1 hour, the symptoms gradually diminished, 2 hours later, heart rate, respiration and blood