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患见李××,女,38岁。因5残冠并急性牙槽脓肿需行切开引流。以1%碘酊消毒术区粘膜,局涂1%地卡因于脓肿表面。约1分钟后病人出现心慌、气短、呼吸困难和紫绀。随即调节体位于水平,并用酒精棉球置于鼻孔旁以刺激呼吸。上述处理病人症状未见有改善,且诉全身发麻。面色苍白,微汗。面部肌肉抽搐以咀嚼肌群明显,四肢冰凉。继之全身肌肉强直,神志模糊,脉搏细弱,脉率120次,血压70～50mmHg。当时考虑可能为地卡因而致之过敏性休克。故立即皮下注射肾上腺素1mg,密切观察血压
Suffering Li × ×, female, 38 years old. Due to 5 crown and acute alveolar abscess need to cut open drainage. To 1% iodine disinfection operation area mucosa, Bureau 1% of the dexamethasone abscess surface. About 1 minute later, the patient developed palpitation, shortness of breath, difficulty breathing and cyanosis. Immediately adjust the body level, and alcohol cotton ball placed next to the nostrils to stimulate breathing. No improvement in the treatment of the patient’s symptoms, and v. Numbness. Pale, slightly sweat. Facial muscle twitching to chew muscles obvious, cold limbs. Then the whole body muscle rigidity, confusion, weak pulse, pulse rate 120 times, blood pressure 70 ~ 50mmHg. At that time, we considered anaphylactic shock that may be caused by dexamethasone. So immediately subcutaneous injection of epinephrine 1mg, close observation of blood pressure