患者,女,28岁,既往体健。因“发热2d,寒颤、胸闷5h”入院。患者2d前无明显诱因出现发热,最高38.2℃,在当地诊所拟诊上呼吸道感染,静脉输注左氧氟沙星、双黄连等液体治疗后好转,5h前,在再次静脉输注双黄连的过程中出现畏寒,持续寒颤,胸闷,伴呕吐胃内容物,全身不适,经过静脉推注 Patient, female, 28 years old, past physical health. Because of “fever 2d, chills, chest tightness 5h” admission. The patient had no obvious predisposing fever 2d, the highest 38.2 ℃, diagnosed upper respiratory tract infection in the local clinic, intravenous infusion of levofloxacin, shuanghuanglian and other fluids improved after treatment, 5h before, again in the process of intravenous infusion of Shuanghuanglian fear Cold, persistent chills, chest tightness, with vomiting stomach contents, general malaise, after intravenous bolus