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患者男,30岁.因阵发性上腹部绞痛4小时拟诊胆道蛔虫症入院.原有肝硬化史,无青霉素过敏史.体检:两侧腮腺、颌下腺未见肿大.腹平软,无压痛,肝肋下3cm,剑突下5cm,质中,无压痛,脾未及,移动性浊音(±).氨苄青霉素皮试阴性.予阿托品0.5mg肌注,5%葡萄糖500ml加氨苄青霉素5g、654-2 10mg静滴,即出现头晕,频繁恶心呕吐,明显口干,10分钟后出现颌下肿
Male patient, 30 years old due to paroxysmal upper abdominal cramps 4 hours to be diagnosed as biliary ascariasis admitted to the hospital. The original history of liver cirrhosis, no history of penicillin allergy. Physical examination: Parotid on both sides, submandibular gland enlargement. Abdominal flat, No tenderness, liver ribs 3cm, xiphoid 5cm, quality, no tenderness, spleen, mobility dullness (±). Ampicillin skin test negative. To 0.5mg intramuscular injection of atropine, 500ml of 5% glucose plus ampicillin 5g, 654-2 10mg intravenous infusion, that is, dizziness, frequent nausea and vomiting, obvious dry mouth, submandibular swelling after 10 minutes