论文部分内容阅读
患者安某,男,39岁,因发热、头痛3天,自备山东郯南制药厂生产的复方大青叶Ⅰ批号8611031,鲁卫药准字(81)1907-12,于1987年2月21日来本院门诊注射室肌肉注射4ml。5分钟后患者突然感头晕、恶心、胸闷、心慌、气短、烦躁不安,继而面色苍白,口唇紫绀,四肢发凉,全身颤抖,不省人事。查体:脉膊测不到,血压11/7kPa,神志不清,呼吸急促,面、颈潮红,四肢湿凉。诊断为:过敏性休克(复方大青叶所致)。处理:立即肌肉注射肾上腺素1mg,吸氧。肌肉注射阿托品1mg,静脉注射50%
Patient safety, male, 39 years old, due to fever, headache for 3 days, with the preparation of Shandong Junan Pharmaceutical Factory Compound Folium Ⅰ batch No. 8611031, Lu Wei medicine accurate character (81) 1907-12, in February 1987 21 days outpatient injection room intramuscular injection 4ml. After 5 minutes, the patient suddenly felt dizzy, nausea, chest tightness, palpitation, shortness of breath, restlessness, then pale, lips cyanosis, extremities cold, trembling, unconscious. Physical examination: pulse can not be measured, blood pressure 11 / 7kPa, confusion, shortness of breath, face, neck flushing, limbs wet and cool. Diagnosis: anaphylactic shock (caused by Compound Folium). Treatment: Immediate intramuscular injection of epinephrine 1mg, oxygen. Intramuscular injection of atropine 1mg, intravenous injection of 50%