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1例51岁男性患者,因行胫骨平台骨折手术入院。术前1d给予头孢匹胺1.0g,2次/d静脉滴注。术后继续使用头孢匹胺,静脉滴注完毕后,给予鹿瓜多肽24mg加入0.9%氯化钠注射液250mL,1次/d静脉滴注。滴注约20min时,患者突然出现胸闷,面部及颈部潮红,大汗淋漓,血压测不出。心电监护示SaO20.81,HR114次/min。停用鹿瓜多肽,给予对症、支持治疗,症状缓解。后未再使用鹿瓜多肽,继续静脉滴注头孢匹胺3d,未再出现上述症状。
A 51-year-old male patient was admitted to the hospital for tibial plateau fracture surgery. 1d preoperative cefpiramide 1.0g, 2 times / d intravenous infusion. After cefpiramide continued to be used, after intravenous infusion, given 24mg deer melon peptide added 0.9% sodium chloride injection 250mL, 1 / d intravenous infusion. Drop about 20min, the patient suddenly appeared chest tightness, face and neck flushing, sweating, blood pressure can not be measured. ECG monitoring shows SaO20.81, HR114 times / min. Disable deer melon peptide, given symptomatic, supportive treatment, symptom relief. No further use of deer melon peptides, continue intravenous cefpiramide 3d, no recurrence of the above symptoms.