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患者,男,41岁。因晚餐时食用新鲜炒瘦肉丝后10分钟出现全身皮肤瘙痒及大小不等的红色风团块,伴呼吸困难,头晕,腹痛,恶心呕吐,大汗出,四肢湿冷,面色苍白,遂急诊入院。查体:神志淡漠,面色苍白,全身皮肤可见大小不等红色风团块。血压60/30 mm Hg,呼吸28 次/min,心率120 次/min,心音低钝,无杂音,腹平软,肝脾肋下未触及,上腹及脐周压痛,肠鸣音活跃,考虑为急性荨麻疹并过敏性休克。即给予吸氧,肌注肾上腺素1 mg,10%葡萄糖500 ml加多巴胺60 mg及林格氏液500
Patient, male, 41 years old. 10 minutes after eating fresh scrambled shredded pork, systemic skin itching and red wind clumps of different sizes accompanied by dyspnea, dizziness, abdominal pain, nausea and vomiting, sweating, cold limbs, pale, then emergency admission . Physical examination: indifference, pale, the size of the body visible red skin size clumps. Blood pressure 60/30 mm Hg, breathing 28 times / min, heart rate 120 beats / min, low heart sound dull, no noise, flat abdomen, untreated liver and spleen ribs, upper abdominal and umbilical cord tenderness, bowel sounds active, consider Acute urticaria and anaphylactic shock. That is given oxygen, intramuscular injection of epinephrine 1 mg, 10% glucose 500 ml dopamine 60 mg and Ringer’s solution 500