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林可霉素属大环内酯类抗生素,其毒副作用主要为过敏反应和胃肠道反应,而过敏性休克实属少见。偶遇一例,现予介绍。 患者,女,60岁,农民。1994年4月12日入院。主诉:发热、胸闷两天,哮喘一天。查体:T38℃,R24次/分,P98次/分,BP20/12kPa。巩膜无黄染,口唇紫,浅表淋巴结无肿大,双侧瞳孔等大等园,对光反应存在,颈软无抵抗,双肺可闻哮鸣音,偶见湿罗音,心、肝、肾未见异常,腹平软,四肢肌力正常,神经系未见异常。化验:WBC 9.8×10~9/L,N70％,L30％。入院按感冒、支气管哮喘给予解热、消炎、平喘,输液等治疗后,症状好转。
Lincomycin is a macrolide antibiotic, the main side effects of allergic reactions and gastrointestinal reactions, and allergic shock is rare. Encounter case, now to introduce. Patient, female, 60 years old, farmer. April 12, 1994 admission. Chief complaint: fever, chest tightness, two days, asthma day. Physical examination: T38 ℃, R24 times / min, P98 times / min, BP20 / 12kPa. Sclera no yellow dye, purple lips, lymph nodes without superficial enlargement, bilateral pupils and other large park, the presence of light reaction, neck soft non-resistance, lungs can be heard wheezing, occasionally wet rales, heart, liver , No abnormal kidney, abdominal soft, normal limb muscle strength, no abnormalities in the nervous system. Laboratory: WBC 9.8 × 10 ~ 9 / L, N70%, L30%. Admission by the flu, bronchial asthma given antipyretic, anti-inflammatory, antiasthmatic, infusion and other treatment, the symptoms improved.