男患、19岁,因右上腹阵发性绞痛,伴恶心,未吐1天,于1988年8月8日来院急诊。查体:T37.5℃、Bp106/70,心肺(一)腹部平软,肝脾未触及,右上腹部压痛(+),无反跳痛,未扪及肿块,肠音正常。平素健康,既往无过敏史。考虑为胆石症。给颅痛定60mg、阿托品0.5mg分别肌肉注射,20分钟后给5%葡萄糖500ml、庆大霉素4万u×5支混合静滴后约1分钟,病人口唇发绀、面色苍白、神志模糊、头昏胸闷,Bp60/0,两眼上翻、脉快细弱、呼之有反应。初诊为庆大霉素过敏休克,立即给氧、肾上腺素1mg肌注,50%葡萄糖60ml,地塞米松10mg混合静推等对症处理后,症状好转,自述乏力,1小时后血压110/70,病情稳定。该患所用的庆大霉素为江两制药厂生产,批号 Male suffering, 19 years old, because of right upper quadrant paroxysmal colic, with nausea, did not spit 1 day, August 8, 1988 to hospital emergency. Physical examination: T37.5 ℃, Bp106 / 70, cardiopulmonary (a) soft belly, liver and spleen not touched, right upper quadrant tenderness (+), no rebound pain, palpable mass, normal bowel sounds. Usually healthy, no history of allergies. Considered cholelithiasis. Give cranialgia 60mg, atropine 0.5mg were intramuscularly injected, after 20 minutes to 5% glucose 500ml, gentamicin 40,000 u × 5 mixed infusion about 1 minute after the patient’s lips cyanosis, pale, confusion, Dizziness, chest tightness, Bp60 / 0, his eyes upturned, pulse fast weak, call for a response. First diagnosed as gentamicin anaphylactic shock, immediately give oxygen, 1mg intramuscular injection of epinephrine, 50% glucose 60ml, dexamethasone 10mg mixed static push and other symptomatic treatment, the symptoms improved, readme fatigue, 1 hour after the blood pressure 110/70, Stable condition. The suffering from gentamicin for Jiang Pharmaceutical production, batch number