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患者女,64岁.于住院前因上呼吸道感染肌注青霉素160万u,Bid.应用2天,无不良反应,住院当日晨因发热不退给予青霉素800万u加10%葡萄糖300ml静滴.1小时40分钟输完,输液后患者突然胸闷,心悸,出汗及呼吸困难,伴周身瘙痒及出现荨麻疹.Bp12/7.8kPa,立即肌注苯海拉明、氟美松,查心电图示室性早搏;Ⅱ、Ⅲ、avF、V_1—V_5导联ST段抬高0.5—1mv,静注利多卡因50mg后心律齐,半小时后查心电图正常.1小时后心电图Ⅱ、Ⅲ、avF、V_1—V_5导联中ST段抬高2—4mv.患者有Ⅱ型糖尿病史2年.体检:T37.3℃,P92次/min,即14/7kPa,神清,周身皮肤散在米粒大小红色丘
Female patient, aged 64. Before hospitalization due to upper respiratory tract infection penicillin 1.6 million, Bid. Application 2 days, no adverse reactions, due to fever on the day of admission morning penicillin 8 million u plus 10% glucose 300ml intravenous infusion. 1 hour and 40 minutes after the end of infusion, the patient suddenly after chest tightness, heart palpitations, sweating and breathing difficulties, with peripheral itching and urticaria.Bp12 / 7.8kPa, immediately intramuscular injection of diphenhydramine, Premature beat; Ⅱ, Ⅲ, avF, V_1-V_5 leads ST segment elevation 0.5-1mv, intravenous injection of lidocaine 50mg rhythm Qi, half an hour after check electrocardiogram normal .1 hours after electrocardiogram Ⅱ, Ⅲ, avF, V_1- V_5 lead in the ST segment elevation 2-4mv. Patients with type 2 diabetes history of 2 years. Physical examination: T37.3 ℃, P92 times / min, that is, 14 / 7kPa, Shen Qing, whole body skin scattered rice size red mound