论文部分内容阅读
例1:住院号299796,女,63岁。以冠心病心绞痛发作于1991年3月26日入院。心电向量示心肌缺血,左前分支阻滞,超声心动图示左室舒张末压增高,血脂胆固醇6.89mmol/L。甘油三酯2.42mmol/L,β—脂蛋白6.7g/L,HDL——ch0.91mmol/L,LDL—ch4.87mmol/L,经服消心痛,肌苷,心得安等扩冠,营养心肌药物治疗,有时仍有心前区闷痛发作,于4月24日给予1.6二磷酸果糖(FDP)10g静滴,静滴过程中无不适,当天下午自感面部、手掌发热及肿胀,嘴唇、双下肢麻木,继之上述部位搔痒,于第二天清晨症状基本消失,因不知何故,第二日继续应用FDP,输完后,再次出现上述症状,并感心慌、胸闷、焦虑,面部、手掌发热、潮红、肿胀,尤以嘴唇、舌体肿胀明显,舌体活动不灵,且感麻木,手掌稍有脱屑现象,全身搔痒不适。即服息斯敏10mg,每日=次,扑尔敏4mg、每日三次,第二天症状、体征减轻,第三天消失。一年前患者曾用FDP10g静滴30天,无此现象。
Example 1: Hospitalization 299796, female, 63 years old. Coronary heart disease angina attack on March 26, 1991 admission. ECG showed myocardial ischemia, left anterior branch block, echocardiography increased left ventricular end diastolic pressure, cholesterol 6.89mmol / L. Triglyceride 2.42mmol / L, β-lipoprotein 6.7g / L, HDL - ch 0.91mmol / L, LDL-ch 4.87mmol / L, Drug treatment, and sometimes there is still precordial boring pain episode, on April 24 to give 1.6 diphosphate fructose (FDP) 10g intravenous infusion, intravenous infusion of no discomfort, the afternoon self-senses facial, palms fever and swelling, lips, double Lower limb numbness, followed by itching in the above parts, the symptoms disappeared in the early morning of the next day, for some reason, continue to use FDP the next day, lose the above symptoms, and feel panicked, chest tightness, anxiety, facial, palpitation fever , Flushing, swelling, especially in the lips, tongue swelling obvious tongue activity is not working, and feeling numbness, the palm slightly desquamation, systemic itching discomfort. Serve astemizole 10mg, daily = times, chlorpheniramine 4mg, three times daily, the next day symptoms, signs and reduce the disappearance of the third day. A year ago, patients had intravenous infusion of FDP10g 30 days, no such phenomenon.