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患者,男,30岁,因感冒后咳嗽,咳痰在我院输注青霉素,第3天输入液体约200 ml时,突感心悸、胸闷,随后意识丧失,血压测不出,考虑为青霉素过敏性休克,立即给予地塞米松10 mg及肾上腺素1 mg iv后意识恢复,血压正常,约10 min后,患者感胸闷、心前区不适,当时测BP 120／80 mmHg, HR 90次·min~(-1),律齐,心电图提示下壁及广泛前壁ST段下移0．1-0．2 mv,I．avl导联ST段上抬0．05-0．1 mv,查血钾3．25 mol·L~(-1),心肌酶谱正常,查血沉、抗“O”、免疫球蛋白亦正常,心电图表现胸部导联高耸T波,TV2-4振幅达2．0mv,给予辅酶Q_(10)、含镁极化液营养心肌,发病第1天,心电图恢复正常,患者自诉无特殊不适。
Patients, male, 30 years old, due to a cold cough, sputum infusion of penicillin in our hospital, the first three days into the liquid about 200 ml, sudden heart palpitations, chest tightness, then loss of consciousness, blood pressure can not be measured, consider penicillin allergy Sexual shock, immediately given dexamethasone 10 mg and epinephrine 1 mg iv consciousness recovery, normal blood pressure, about 10 min, the patient feeling chest tightness, precordial discomfort, when measured BP 120/80 mmHg, HR 90 times · min ~ (-1), law Qi, ECG prompts the lower wall and extensive anterior ST segment down 0.1-0.2 mv, I. avl lead ST segment elevation 0.05-0.1 mv, check potassium 3.25 mol·L -1, normal myocardial enzymes, check the ESR, anti-O, immunoglobulin is also normal, Electrocardiogram showed thoracic ECG towering T wave, TV2-4 amplitude of 2.0mv, given coenzyme Q_ (10), magnesium-containing polar fluid nutrition myocardium, the first day of onset, electrocardiogram returned to normal, the patient’s private prosecution without special discomfort.