患者女性,38岁,住院号157886,于1983年4月15日上午,拟作右乳肿块切除。麻醉前作普鲁卡因皮肤试验阴性,就右侧第3、4、5肋间注入0.25％丁吡卡因共16ml。阻滞后约10min左右,患者面部潮红,口唇麻木,脸、颈和上肢都出现明显荨麻疹。随即静脉推注50％萄葡糖液20ml,10％葡萄糖酸钙10ml,约10-15min后好转,要求坐起上厕所而跌倒,扶起后血压75/50,脉搏76次。静注麻黄硷 Female patient, 38 years old, hospital number 157886, on the morning of April 15, 1983, intended for resection of the right breast mass. Before anesthesia for procaine skin test negative, on the right 3,4,5 intercostal injection of 0.25% tetracycline a total of 16ml. About 10min after block, patients face flushing, numbness lips, face, neck and upper limbs were obvious urticaria. Immediate intravenous injection of 50% glucose solution 20ml, 10% calcium gluconate 10ml, after about 10-15min improved, requiring sitting on the toilet and fall, raised blood pressure 75/50, pulse 76 times. Intravenous ephedrine