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1 病例介绍患者,男,40岁,有青霉素,解热镇痛类药,蚂蚱等的过敏史,于2001年9月因鼻窦炎自购鼻炎宁冲剂,口服1包(6g)约3分钟后出现心慌、气急、腹痛、大汗淋漓,全身痒感等症状。查体:意识恍惚,呼吸急促,面色潮红,脉搏细弱,血压75/50mmHg,心尖区第一心音低钝,考虑为过敏性休克。立即进行抢救,给予氧气吸入,保暖,肌注肾上腺素0.5mg,静脉推注氟美松10mg,肌注非那根25mg,静脉补液等处理。严密观察病人的病情变化,20分钟后上述症状减轻,测血压
1 case description The patient, male, 40 years old, penicillin, antipyretic analgesics, grasshoppers and other allergies, in September 2001 due to sinusitis since the purchase of rhinitis Ning granules, oral 1 packet (6g) for about 3 minutes After the palpitation, shortness of breath, abdominal pain, sweating, systemic itching and other symptoms. Examination: Consciousness trance, shortness of breath, flushing, weak pulse, blood pressure 75 / 50mmHg, apical low first heart sound blunt, consider anaphylactic shock. Immediate rescue, giving oxygen inhalation, warm, intramuscular injection of epinephrine 0.5mg, intravenous injection of dexamethasone 10mg, intramuscular injection of non-root 25mg, intravenous rehydration and other treatment. Closely observe the patient’s condition changes, reduce the symptoms after 20 minutes, measure blood pressure