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患者女性,55岁,因右上腹阵发性绞痛0.5d于1988年6月4日入院。体检:BP120/80mmHg,心肺阴性,腹软,莫菲氏征(+),B超提示胆囊内蛔虫,血象:白细胞109×10~9/L、中性0.80,心电图正常(附图A.肢导联省略),既往无心血管病史。诊断:胆道蛔虫症。给予输液、抗感染、解痉止痛等治疗。入院第3d,静滴林格氏液加氨苄青霉素,当输入约300ml时,突然出现寒颤、胸闷、呼吸短促伴颈部紧榨感,左肩胛部疼痛难忍、烦躁不安。T39.4℃、P92次/min、BP86/40mmHg,
Female, 55 years old, was admitted to hospital on June 4, 1988, due to paroxysmal supination of the right upper quadrant for 0.5 days. Physical examination: BP120 / 80mmHg, cardiopulmonary negative, abdominal soft, Murphy’s sign (+), B ultrasound prompts gallbladder ascaris, blood: white blood cells 109 × 10 ~ 9 / L, neutral 0.80, normal ECG Lead omitted), no past history of cardiovascular disease. Diagnosis: biliary ascariasis. Give infusion, anti-infection, antispasmodic and analgesic treatment. Admitted to the first 3d, intravenous infusion of Ringer’s solution plus ampicillin, when the input of about 300ml, the sudden onset of chills, chest tightness, shortness of breath with a tight feeling of the neck, left shoulder pain unbearable, restless. T39.4 ° C, P92 times / min, BP86 / 40mmHg,