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马×、男、38岁.1982年11月2日因畏寒、发热、咽痛、咳嗽两天而就诊。查:体温37.5℃,咽充血,心肺(-).按上呼吸道感染治疗。给肌注安痛定2支(安阳第一制药厂生产,批号811119,不含乌拉坦),约5分钟后患者心慌、气短、腿软、恶心,继而全身发痒、出汗,面色由潮红转为苍白。检查:神清,全身皮肤潮红,头部有冷汗,心音弱,听不清,脉搏摸不到,血压测不到。立即给肌注扑尔敏5mg,其后上半身又出现大片状荨麻疹,奇痒.又静注50%葡萄糖60ml 加氢化考的松50mg后,自感心慌好转,心率90次/分,律齐,血压
Male ×, male, 38. 1982 年 2 November 1982 due to chills, fever, sore throat, cough for two days and treatment. Check: body temperature 37.5 ℃, pharyngeal congestion, cardiopulmonary (-). According to the upper respiratory tract infection treatment. To muscle intramuscular injection 2 (Anyang No. 1 pharmaceutical factory production, batch number 811119, excluding urethane), about 5 minutes after the patient palpitation, shortness of breath, legs soft, nausea, then the whole body itching, sweating, looking from the flush Turn pale. Check: God clear, body skin flushing, cold sweat on his head, weak heart sounds, can not hear, not touch the pulse, blood pressure can not be measured. Immediately to the intramuscular chlorpheniramine 5mg, followed by the emergence of large patches of urticaria in the upper body, itching and intravenous injection of 50% glucose 60ml hydrocortisone 50mg, self-feeling flustered, heart rate 90 beats / min, Law Qi, blood pressure