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病例摘要例1:女性,31岁。于1989年4月28日因急性阑尾炎收入院。入院当天在硬膜外麻醉下行阑尾切除术.术后常规静滴液体及抗生素,30分钟后病人自述切口处疼痛,肌肉注射平痛新20mg,拔针后患者突然呼吸急促、躁动、面色苍白、皮肤湿冷、意识不清,血压9/6kPa,脉搏微弱,心率140次/分,心音纯,节律整,即行吸氧、激素、抗过敏药物及抗休克治疗。1小时后血压恢复至13.3/8.80kpa,意识恢复,心率84次/分,律整,住院9天痊愈出院。例2:男性,15岁。于1988年4月20日因右股骨下1/3完全性骨折入院。在硬膜外麻醉下行内固定术,术中顺利。因切口疼痛给肌注平痛新20mg,1分钟后,患者突然抽搐,躁动、面色苍白、意识不
Case Summary Example 1: Female, 31 years old. On April 28, 1989 due to acute appendicitis income hospital. On the day of admission, epidural anesthesia performed appendectomy .After the routine intravenous infusion of liquid and antibiotics, the patient readme incision 30 minutes after the pain, intramuscular injection of new pain 20mg, after the injection of patients suddenly breathing shortness of breath, restless, pale, Skin wet and cold, unconsciousness, blood pressure 9 / 6kPa, weak pulse, heart rate 140 beats / min, heart sound pure, rhythm whole, that line oxygen, hormones, anti-allergy drugs and anti-shock treatment. 1 hour after the blood pressure returned to 13.3 / 8.80kpa, awareness recovery, heart rate 84 beats / min, law, hospital 9 days cured. Example 2: Male, 15 years old. On April 20, 1988 due to the right femur 1/3 complete fracture hospitalization. In the epidural anesthesia underwent internal fixation, intraoperative smooth. Because of incision pain intramuscular injection of new pain 20mg, 1 minute later, the patient suddenly convulsions, restless, pale, unconscious