论文部分内容阅读
患者,男,19岁,部队战士。2005年12月9日因参加部队高强度5kg 负重越野跑后出现气促,呼吸困难,周身发热,瘙痒和红斑,经部队卫生队简单处理,立即给予口服扑尔敏8mg,维生素 C 0.2g 等对症治疗,30min 后患者症状加重,出现气喘,呼吸困难加重,转至本院。患者平素身体健康,否认支气管哮喘等病史。追问病史有食用海鲜史,但既往进食海鲜未曾发病。体检:神志清,急性病容,气促,面色苍白,T 36.5℃,BP 125/65 mmHg,P 84 次/min,R 35 次/min,心肺腹(-)。血、尿常规及血电解质均正常。胸片及心电图无异常。诊断:运动诱发的全身性过敏反应。立即予吸氧、补液,氢化可的松100 mg,10%葡萄糖酸钙20ml 及维生素 C 2.5g 静脉点滴,同时应用喘乐宁气雾剂吸入。经以上
Patient, male, 19 years old, army soldier. December 9, 2005 due to participation in high-intensity load 5kg cross-country running back after the shortness of breath, dyspnea, whole body fever, itching and erythema by the force health team simple treatment, immediately given oral chlorpheniramine 8mg, vitamin C 0.2g Symptomatic treatment, 30min patients with symptoms worse, asthma, dyspnea increased, go to our hospital. Patients usually healthy, denied bronchial asthma and other medical history. History of eating history of seafood, but the past had never eaten seafood. Physical examination: Consciousness, acute illness, shortness of breath, pale, T 36.5 ℃, BP 125/65 mmHg, P 84 times / min, R 35 times / min, cardiopulmonary abdominal (-). Blood, urine and blood electrolytes were normal. No abnormal chest X-ray and ECG. Diagnosis: Exercise-induced generalized allergic reaction. Immediately oxygen, rehydration, hydrocortisone 100 mg, 10% calcium gluconate 20ml and vitamin C 2.5g intravenous drip, while the application of inhalation of inhalation of salbutamol aerosol. After the above