1病历摘要女,40岁。早餐未进食,在室内散步晕倒在地,遵医嘱立即静脉缓推50%葡萄糖注射液50 ml,休息约20 min后症状缓解,但患者自感前臂不适,观察其穿刺部位皮肤颜色正常,无肿胀,24 h后穿刺部位肿胀,继之逐渐向上蔓延至肘关节处,32 h后达到高峰,局部加热水袋热敷24 h,症状不见好 1 medical record summary female, 40 years old. Breakfast did not eat, walking indoors fainting in the ground, as directed immediately by intravenous push 50% glucose injection 50 ml, about 20 minutes after the rest of the symptoms, but patients with self-feeling forearm discomfort, observe the puncture site skin color is normal, no Swelling, swelling of the puncture site after 24 h, followed by gradual upward spread to the elbow, reached the peak after 32 h, local heating hot water pack 24 h, the symptoms are not good