病例简介:患者,女,17岁。于1989年11月24日,在颈丛神经阻滞麻醉下,行甲状腺腺瘤摘除术手术顺利。为预防出血,静脉点滴10%葡萄糖液500ml,加 6—氨基已酸2.0,60gu/min,30min 后,患者出现面色苍白,口唇发绀,心悸出冷汗。检查:BP10.0/8.0kPa,P 120次/分,R 26次/分,考虑为6—氨基已酸引起的变态反应。立刻更换液体,静滴10%葡萄糖液500ml,加氢化可的松0.1、60gu/min,并吸氧。30min 后,上述症状缓解,2小时后,基本恢 Case description: Patient, female, 17 years old. On November 24, 1989, under the anesthesia of the cervical plexus block, thyroidectomy was performed successfully. To prevent bleeding, intravenous drip 500ml of 10% glucose solution, add 6-amino-acid 2.0,60gu / min, 30min, the patient appeared pale, lips cyanosis, palpitation out of cold sweat. Check: BP10.0 / 8.0kPa, P 120 beats / min, R 26 beats / min, consider the 6-aminocaproic acid-induced allergy. Immediately change the liquid, intravenous infusion of 10% glucose solution 500ml, hydrocortisone 0.1,60gu / min, and oxygen. After 30min, the above symptoms ease, 2 hours later, the basic recovery