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患者男,32岁,工人。因右内耳道发痒取火柴棍掏耳止痒,不慎刺伤内耳道,第2天内耳道红肿疼痛。于1986年8月10日来我院门诊,用3％双氧水清洗局部,约5分钟左右患者突然头昏,心慌,恶心不适、出汗,面色苍白,即刻昏倒于地,不省人事,四肢厥冷,脉搏微弱,心率100次/分,心音弱,血压测不到。立即肌注肾上腺素1毫克,50％葡萄糖20毫升加地塞米松10毫克静推,15分钟后无明显好转再用肾上腺素2毫克加50％葡萄糖40毫升缓慢静推,非那根25毫克肌注后神志恢复,血压90/58毫米汞柱,但患者仍感神疲乏力,四肢软。又给予10％葡萄糖200毫升加氢化可的松100毫克静滴,半小时后恢复正常。我们为证实是否3％双氧水过敏,第2天将
Male patient, 32 years old, worker. Due to the right inner ear itch to take sticks dig ear itch, accidentally stab the inner ear canal, the first 2 days of ear canal swelling and pain. In August 10, 1986 came to our hospital, with 3% hydrogen peroxide to clean the local, about 5 minutes or so patients suddenly dizzy, palpitation, nausea, sweating, pale, immediately collapsed to the ground, unconscious, limbs Jue Cold, weak pulse, heart rate 100 beats / min, weak heart sound, blood pressure can not be measured. Immediate intramuscular injection of 1 mg of epinephrine, 50% glucose 20 ml plus dexamethasone 10 mg static push, no significant improvement after 15 minutes and then use epinephrine 2 mg plus 50% glucose 40 ml slow static push, non-that 25 mg intramuscular injection After the conscious recovery, blood pressure 90/58 mm Hg, but patients still feel tired, limbs soft. Also given 10% glucose 200 ml hydrocortisone 100 mg intravenously, returned to normal after half an hour. We will confirm whether 3% hydrogen peroxide allergy, the first two days will be