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患者马某某,女,17岁,农民。因患上呼吸道感染,于1984年2月16日上午8时在本村医疗站肌注庆大霉素4万单位。注射后,即感头昏、乏力、口舌及面部麻木,继而昏倒在地,二便失禁。9时急送来我队。经检查:面色苍白、口唇肿胀,神志恍惚,胸腹部散在大小等的皮疹,血压70/50mmHg,诊断为过敏性休克。立即输氧,皮下注射肾上腺素0.5mg,肌注异丙嗪25mg,静注50％葡萄糖注射液60ml、加维生素C0.5g,用药后,患者神志逐渐恢复,血压上升到87/65mmHg。继静脉滴注葡萄糖氯化钠注射液500ml及氢化可的松100mg,上午10时患者烦躁不安、寒战、恶心、呕吐、
Patient Ma Moumou, female, 17 years old, farmer. As a result of respiratory infections, on February 16, 1984 at 8 am in the village medical station intramuscular injection of gentamicin 40,000 units. After injection, the feeling of dizziness, fatigue, tongue and facial numbness, and then collapsed to the ground, second incontinence. 9:00 sent to my team. Checked: pale, lips swollen, trance, chest and abdomen scattered in the size of the rash, blood pressure 70 / 50mmHg, the diagnosis of anaphylactic shock. Immediate oxygen, subcutaneous injection of epinephrine 0.5mg, intramuscular injection of promethazine 25mg, intravenous injection of 50% glucose 60ml, plus vitamin C0.5g, medication, the patient consciousness gradually restored, blood pressure rose to 87 / 65mmHg. Following the intravenous infusion of 500ml of glucose and sodium chloride injection hydrocortisone 100mg, at 10 am the patient irritability, chills, nausea, vomiting,