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男,21岁,因反复乏力、纳差、厌油、SGPT增高、HBsAg阳性入院。查肝肋下1.5cm,质中。肝功SGPT 250单位、射浊12单位、HBsAg 1:512、玫瑰花结形成试验75％。后经病理诊断为中型慢活肝。以植物血球凝集素(批号831227、广州市工业研究所生产)20mg,加入10％葡萄糖500ml中静点,日1次,20天一疗程,连用3疗程。结果在第二疗程的第10天治疗中出现寒战、发热、心慌气促、面色青紫、四肢发凉、血压90/60mmHg,即停止输液,肌注苯海拉明50mg及对症处理,血压继续降至60/40mmHg、体温40℃,经用多巴胺40mg及氢化考地松
Male, 21 years old, due to repeated weakness, anorexia, tired of oil, SGPT increased, HBsAg positive admission. Liver ribs 1.5cm, quality. Hepatic SGPT 250 units, jet turbidity 12 units, HBsAg 1: 512, rosette formation test 75%. After diagnosis by the pathological slow-living liver slow. To hemagglutinin (batch 831227, Guangzhou Institute of Industry) 20mg, adding 10% glucose 500ml in the static point, day 1, 20 days a course of treatment, once every 3 courses. Results in the second course of treatment in the first 10 days of chills, fever, palpitation and shortness of breath, looking bruising, cold limbs, blood pressure 90 / 60mmHg, stop infusion, intramuscular injection of diphenhydramine 50mg and symptomatic treatment, blood pressure continues to drop To 60 / 40mmHg, body temperature 40 ℃, with dopamine 40mg and hydrogenated cortisone