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患者女性,62岁。因畏寒、发热伴干咳于1984年12月17日入院。既往有青、链霉素过敏史。入院后经体检及胸透等检查诊断为右下肺炎、冠心病。给予红霉素1g静滴(在化液时,否认有青、链霉素接触)。注入后约半分钟,患者突感恶心、呕吐。立即停止输液。继之患者出现大汗淋漓,呼吸困难,口唇发绀,意识丧失、小便失禁,心率120次/分,心律不齐,两肺有散在哮鸣音、少量(?)罗音,片刻心率难以计数。心音微弱。考虑到患者过敏性体质,诊为红霉素引起过敏性休克。经急救及抗过敏治疗,数分钟后神志清楚,病情好转,10分钟后患者口唇红润、心率100次/分,律齐,两肺哮鸣音消失,一般情况好转.
Patient female, 62 years old. Due to chills, fever with dry cough on December 17, 1984 admission. Past history of cyanosis, streptomycin allergy history. After admission by the physical examination and chest X-ray examination diagnosed as right lower pneumonia, coronary heart disease. Erythromycin 1g intravenous infusion (in the fluid, denied a green, streptomycin exposure). About half a minute after the injection, the patient suddenly felt nausea and vomiting. Immediate stop infusion. Following the patient sweating, difficulty breathing, lips cyanosis, loss of consciousness, incontinence, heart rate 120 beats / min, arrhythmia, both lungs scattered wheeze, a small amount of (?) Rales, a moment of heart rate is difficult to count. Heart sounds weak. Taking into account the patient’s allergic constitution, diagnosed as erythromycin-induced anaphylactic shock. After first aid and anti-allergy treatment, a few minutes later conscious, condition improved, patients lips rosy after 10 minutes, heart rate 100 beats / min, law Qi, lung wheeze disappeared, the general situation improved.