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患男,50d,于1995年1月8日以支气管肺炎并发心衰收住我科。查体:T 37C,P180次/min,R60次/min。精神反应差,面色灰白,呼吸急促,咳嗽,气喘,口周发绀,鼻扇,三凹征(+)。给抗感染,强心,利尿,对症等治疗。入院第3天静点10％葡萄糖100ml+多巴胺10mg,速度4～5滴/min。第4天重复静点此药1h后,发现进针部位皮肤轻度肿胀,苍白,范围约1.5cm×1.0cm,即将针头拔出,另选血管穿刺,原注射部位皮肤用50％酒精湿敷。第2次穿刺成功后,输液约10min,进针部位皮肤又出现苍白现象,约0.8cm×1.0cm,无
Male, 50d, on January 8, 1995 with bronchial pneumonia complicated by heart failure admitted to our department. Physical examination: T 37C, P180 times / min, R60 times / min. Poor mental response, pale gray, shortness of breath, cough, asthma, perioral cyanosis, nasal fan, three concave sign (+). To anti-infection, cardiac, diuretic, symptomatic treatment. On the third day of admission, 10% dextrose 100ml + dopamine 10mg, speed 4 ~ 5 drops / min. On the fourth day after repeated intravenous injection of this medicine for 1h, the skin at the injection site was found to be mildly swollen and pale. The range was about 1.5cm × 1.0cm. The needle was pulled out and an alternative vascular puncture was performed. The skin of the original injection site was wet with 50% alcohol . After the second puncture was successful, the infusion for about 10min, the needle part of the skin appears pale again, about 0.8cm × 1.0cm, no