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1 临床资料 患者,男性,22岁,1999年9月7日因左股骨骨折,钢板螺丝钉内固定术后2年收住院。入院后经术前常规准备,于9月10日在硬膜外麻醉下行左股骨钢板内固定取出术,术中顺利,术后安返病房。患者术后第一天午后自诉伤口疼痛,给予平痛新20mg肌注,约10分钟后,患者突发头昏,视物不清,胸闷,心慌,四肢发凉,痉挛,出冷汗,呼吸困难,口唇发绀,四肢麻木。查体:体温36.8℃,心率
1 Clinical data Patients, male, 22 years old, September 7, 1999 due to left femoral fracture, screw fixation within 2 years after hospitalization. After admission, preoperative routine preparation, on September 10 under epidural anesthesia with left femoral plate fixation, surgery, surgery, and return to the ward. Patients complained of pain after the first day of operation on the first day after the operation, given a new 20mg intramuscular injection of pain, about 10 minutes later, the patient suddenly dizziness, blurred vision, chest tightness, palpitation, extremities cold, spasms, cold sweats, dyspnea , Lips cyanosis, limb numbness. Physical examination: body temperature 36.8 ℃, heart rate