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患者,男,17a,因外伤性白内障于1989年4月20日入院。次日医嘱给10%葡萄糖250ml+地塞米松5mg 静滴,维生素 B_120mg tid 口服,盐酸洁霉素0.6g Bid 肌注。当输液15min 后患者上半身出现风团状荨麻疹,尤以面部,口唇,眼睑更为明显,伴有搔痒并逐渐波及全身,即给予肌注异丙嗪25mg 上述症状缓解。当时考虑可能是维生素(?)或洁霉素致敏即给予停药。继续给地塞米松静滴,当输液15min 后患者又出现上述症状,这次我们没有及时给予对症处理,着重以观察病情变化为主。静滴完毕后5min 患者起床下地即感胸闷、心悸、耳鸣,头昏,随之就不省人事。当时患者面色苍白,大汗淋漓,四肢冰冷,呼吸怠促32次/min,
Patient, male, 17a, admitted to hospital on April 20, 1989 due to traumatic cataract. The next day doctor’s advice to 10% glucose 250ml + dexamethasone 5mg intravenous infusion, vitamin B_120mg tid oral, lincomycin hydrochloride 0.6gPb intramuscular injection. When the infusion of 15min after the upper body appear wind-like urticaria, especially in the face, lips, eyelids more obvious, accompanied by itching and gradually spread to the body, that is, intramuscular injection of promethazine 25mg of the above symptoms ease. At that time may be considered vitamins (?) Or lincomycin sensitization that is given withdrawal. Continue to dexamethasone intravenous infusion, 15min infusion of the patient again after the above symptoms, this time we did not give symptomatic treatment, focusing on the observation of changes in the main. 5min after intravenous infusion, the patient felt chest tightness, heart palpitations, tinnitus, dizziness, then unconscious. Patient was pale, sweating, cold limbs, snorting breath 32 times / min,