论文部分内容阅读
患者女,24岁,因患功能性消化不良(functionadys-pepsia),于1992年3月21日入院.既往有氨苄青霉毒过敏史.在应用颅通定第5d时,病人头晕、头痛、不思饮食.停用2d即好转.翌日,续用颅通定60mg(昆明制药厂生产,滇药准字(86)1—178)约15mid后突然昏倒在地,口吐白沫,四肢厥冷,牙关紧闭,尿失禁.体检:BP为6/OkPa,R30次/min,P细弱136次/min,且一度出现潮氏呼吸.手唇手指(趾)发绀,胸、腹、会阴部可见风团块,皮肤划痕试验阳性.即给肾上腺素1mg、非那根25mgim,50%葡萄糖60mL,地塞米松20mg,iv,10%葡萄糖500mL、氨茶碱1.0、尼可刹明0.375×3ivd,输氧等治疗15min后,血压、脉搏、呼吸生命体征逐渐好转,用至35min症状消失,体征正常而离院,随访24h未见复发.
Female, 24 years old with functionaladys-pepsia admitted to hospital on March 21, 1992. Previous history of allergy to ampicillin resulted in dizziness, headache, The next day, continued with cranialis 60mg (Kunming Pharmaceutical Factory, Yunnan Yijingzhunzi (86) 1-178) about 15mid suddenly collapsed to the ground, foaming at the mouth, limbs Jue Cold, Tightness and Urinary Incontinence Physical Examination: BP 6 / OkPa, R30 beats / min, P Weak 136 beats / min, and once tide Breathing hands finger toe cyanosis, chest, abdomen, perineum Visible wind clumps, skin scratch test positive, that is to give epinephrine 1mg, non-root 25mgim, 50% glucose 60mL, dexamethasone 20mg, iv, 10% glucose 500mL, aminophylline 1.0, niccaseic 0.375 × 3ivd, oxygen and other treatment 15min, blood pressure, pulse, respiratory and vital signs gradually improved to 35min symptoms disappeared, signs of normal and from the hospital, no recurrence of follow-up 24h.