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患者女性,27岁,干部。因腰痛于1981年3月8日10时许肌注安侬痛20mg,注后10分钟全身不适,头昏眼花,胸闷心慌,继之面色苍白,大汗淋漓,昏倒于地。检查。神志不清,瞳孔等大,光反射迟钝,心音微弱,脉搏摸不清,血压70/40mmHg,呼吸急促呈鱼口状,四肢冰冷,立即按过敏性休克抢救。皮下注射1‰盐酸肾上腺素0.8ml,肌注非那根25mg,导管吸氧,10分钟后仍呼之不应,血压无回升,脉弱,唇甲发绀,再以1‰肾上腺素0.5ml 皮下注射,肌注洛贝林3mg,50%葡萄糖50ml 加地塞米松5mg静推,一小时后患者神志清,呼吸平稳规则,血压110/70mmHg,脉搏84次/分。次日除轻度头昏乏力外,未留任何后遗症。
Patient female, 27 years old, cadre. Due to low back pain on March 8, 1981, 10 o’clock muscle injection Annon pain 20mg, note after 10 minutes of general malaise, dizziness, chest tightness palpitation, followed by pale, sweating, collapsed to the ground. an examination. Confusion, pupils and other large, slow light reflex, weak heart sounds, pulse puzzled, blood pressure 70 / 40mmHg, shortness of breath was fish-mouth, limbs cold, immediately by anaphylactic shock rescue. Subcutaneous injection of 1 ‰ epinephrine hydrochloride 0.8ml, intramuscular injection of non-root 25mg, catheter oxygen, still call after 10 minutes should not, no blood pressure rise, weak pulse, cyanotic lip, then 1 ‰ 0.5ml subcutaneous epinephrine Injection, intramuscular injection of Lobelin 3mg, 50% glucose 50ml plus dexamethasone 5mg static push, one hour later patients with clear consciousness, regular breathing, blood pressure 110 / 70mmHg, pulse 84 beats / min. The next day except mild dizziness, leaving no sequelae.