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例1,洪××,男,35岁,军人。因吃未用盐水泡的菠萝1个,食后上腹隐痛。全身搔痒。一小时后吐2次,继有便意,上厕所中昏倒在地,后来院急诊。查体:T35.7℃,P100次/分,R25次/分,BP50/26mmHg。昏迷状态。皮肤潮红有大片红丘疹。眼结膜充血。心音低钝。诊为过敏性休克(菠萝致)。即予1:1000肾上腺素、氢化可的松等,4小时后血压恢复正常,心率72次/分,红疹消失,治愈出院。例2,张××,女,26岁,家属。既往有药物过敏史。因吃菠萝后上腹痛、呕吐、腹泻,全身奇痒来诊。查体:T35.3℃,P120次/分,R20次/分,BP100/60mmHg。急性病容,全身皮肤有大小不等红丘疹,融合成片。剑下压痛++,诊为菠萝过敏。给予氢化考的松,葡萄糖酸钙等治
Example 1, Hung × ×, male, 35 years old, military. Due to eating pineapple without salt water bubble 1, abdominal pain after eating. Itchy body. Spit 2 times an hour later, following the meaning of the toilet collapsed in the ground, later hospital emergency room. Physical examination: T35.7 ℃, P100 beats / min, R25 beats / min, BP50 / 26mmHg. Coma. Skin flushing has a large red papules. Conjunctival hyperemia. Low heart sound Diagnosis of anaphylactic shock (pineapple induced). That is to 1: 1000 adrenaline, hydrocortisone, 4 hours after the blood pressure returned to normal, heart rate 72 beats / min, rash disappeared, cured and discharged. Example 2, Zhang × ×, female, 26 years old, family members. Past history of drug allergy. After eating pineapple because of abdominal pain, vomiting, diarrhea, whole body itching to visit. Physical examination: T35.3 ℃, P120 beats / min, R20 beats / min, BP100 / 60mmHg. Acute illness, the body skin ranging from red papules, fused into pieces. Under the sword tenderness ++, diagnosed as pineapple allergy. Hydrogenation given test of pine, calcium gluconate and other governance