患者男性,13岁。因扁桃体发炎到我院急诊科就诊。给予青霉素钠(大同第二制药厂921109),80万单位×4,皮试(-)im,Bid。2min后发生剧烈腹痛,面色苍白,头部少量汗珠泌出。用药前未用过其它药物,不曾食用生、冷、辛辣等食品。查体;T:37.6℃;P:106次/分;Bp:10.7/8.3KPa(80/62mmHg)。诊断:青霉素过敏反应.随对症处理:盐酸异丙嗪50mg×1,25mg,im;地塞米松钠5mg×1,2mg,im。数分钟后腹痛 Patient male, 13 years old. Tonsillitis due to hospital emergency department treatment. Given penicillin sodium (Datong Pharmaceutical Factory 921,109), 800,000 units × 4, skin test (-) im, Bid. Severe abdominal pain after 2min, pale, a small amount of sweat secretion of the head. No other drugs were used before medication, and no food, cold, spicy food was consumed. Examination: T: 37.6 ° C; P: 106 beats / min; Bp: 10.7 / 8.3 KPa (80/62 mmHg). Diagnosis: penicillin allergic reaction with symptomatic treatment: promethazine hydrochloride 50mg × 1,25mg, im; dexamethasone sodium 5mg × 1,2mg, im. Abdominal pain after a few minutes