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患者男,34岁,因突发气紧30 min 于2004年9月16日就诊。就诊30 min 前在院外输甘露聚糖肽注射液(厂家批号不详)5mg,约5 min 后突感气紧、心悸、胸闷、不能言语。查体:T 36.8℃,P 132次/min,R 30次/min,BP 120/80 mmHg,浅昏迷,呼之不应,呼吸急促,大汗淋漓,紫绀,三凹征,双肺满布哮鸣音,未闻及湿性罗音。心率>130次/min,律齐,未闻及病理性杂音。余无阳性体征。考虑过敏性哮喘,立即予肾上腺素、地塞米松及氨茶碱等抢救,病情平稳后收入院。入院后经氢化可的松,甲
The patient, male, 34 years old, was admitted on September 16, 2004 due to sudden gas stress for 30 minutes. 30min before treatment in the hospital to lose mannan peptide injection (factory lot number is unknown) 5mg, about 5min sudden feeling gas tight, palpitations, chest tightness, can not speak. Physical examination: T 36.8 ℃, P 132 times / min, R 30 times / min, BP 120/80 mmHg, shallow coma, call should not, shortness of breath, sweating, cyanosis, Wheeze, no smell and wet rales. Heart rate> 130 beats / min, law Qi, no smell and pathological murmur. I no positive signs. Consider allergic asthma, immediate adrenaline, dexamethasone and aminophylline and other rescue, stable condition after admission to the hospital. After admission hydrocortisone, a