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例1:女,18岁。1986年12月16日8时,因发烧咳嗽,自服先锋霉素Ⅳ0.5g(未做青霉素皮试),服后5分钟,患者突然腹痛,腹泻,全身出现风团样荨麻疹。10分钟后,精神萎靡不振,四肢瘫软,立即来诊。检查:BP9.3/6.7kpa,脉搏触不清,R22次/分,T35.6℃,呈急性重病容,面色苍白,口唇发绀,全身皮肤湿冷,有指压痕。两肺呼吸音粗糙,有少许干罗音。心音低钝,心率98次/分,肝脾未及。神经系统检查未见异常。白细胞12.4×10~9/L,中性78％,淋巴22％,临床诊断:1.支气管肺炎。2.先锋霉素Ⅳ过敏性休克。
Example 1: Female, 18 years old. At 8 o’clock on December 16, 1986, due to fever, cough, self-serving vanguard ADM Ⅳ 0.5g (not made of penicillin skin test), 5 minutes after serving, the patient suddenly abdominal pain, diarrhea, systemic wind-like urticaria. 10 minutes later, the spirit of malaise, limbs limp, immediately came to the clinic. Check: BP9.3 / 6.7kpa, pulse touch, R22 times / min, T35.6 ℃, was acute serious illness, pale, lips cyanosis, systemic skin wet and cold, finger indentation. Breathe sound rough between the two lungs, a little dry rales. Heart sound low blunt, heart rate 98 beats / min, liver and spleen not yet. Nervous system examination showed no abnormalities. White blood cells 12.4 × 10 ~ 9 / L, 78% neutral, lymph 22%, clinical diagnosis: 1. Bronchial pneumonia. 2. Vanguard ADM Ⅳ anaphylactic shock.