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64岁男患者,因受凉后高热入院。拟予青、链霉素治疗,而患者既往有青霉素过敏史,仅只作链霉素皮试(华北制药厂,批号86011),剂量250单位,皮试后1分钟患者觉心中不适,继之烦躁不安、面色苍白、四肢厥冷、血压测不出,昏迷。即给氧,肾上腺素,约5分钟后呼吸不规则,继之心跳、呼吸停止,瞳孔散大,对光反射消失。经心前区叩击,心脏胸外按摩,人工呼吸,静注多巴胺、地塞米松等积极抢救,约2~3分钟后心跳恢复,心率130次,律齐,血压130/80,面色转红润心电图正常。随之出现自主呼吸,但仍时有不规则,当给了可拉明和洛贝后15分钟呼吸平稳。为防止脑水
64-year-old male patient, due to cold and fever after admission. To be green, streptomycin treatment, and patients with past history of penicillin allergy, only for streptomycin skin test (North China Pharmaceutical Factory, batch number 86011), the dose of 250 units, 1 minute after the skin test in patients with heart discomfort, followed by irritability Restless, pale, extremities Jueleng, blood pressure can not be measured, coma. That is, oxygen, epinephrine, irregular breathing after about 5 minutes, followed by heartbeat, respiratory arrest, mydriasis, light reflex disappeared. After the perianal area tapping, heart chest massage, artificial respiration, intravenous injection of dopamine, dexamethasone and other active rescue, about 2 to 3 minutes after the heartbeat recovery, heart rate 130 times, law Qi, blood pressure 130/80, Normal ECG. Spontaneous breathing ensued, but irregularities persisted and rested 15 minutes after giving kolamine and lobes. To prevent brain water