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1 病例资料 【例1】男,60岁。因左侧肢体无力3天入院。头颅CT示“右侧基底节区梗死”,给予曲克芦丁(维脑路通)0.4g(山西芮城制药厂生产,批号991211)加入0.9%生理盐水250ml中静脉滴注,输入50ml时患者即出现头晕、心慌、大汗,随即出现意识不清,测血压0/0mmHg,心脏骤停。立即停用该药,吸氧,给予肾上腺素、呋塞米、西地兰、多巴胺等药物抢救,10分钟后恢复心跳,2小时后恢复意识,双肺可闻及湿罗音,血压85/40mmHg,诊断:过敏性休克,急性肺水肿。3天
1 case information [Example 1] male, 60 years old. 3 days due to left limb weakness admitted. Skull CT showed “right basal ganglia infarction”, to give troxerutin (Victoria brain Lu Tong) 0.4g (Shanxi Ruicheng Pharmaceutical Factory production, batch number 991211) added 0.9% saline 250ml intravenous infusion of 50ml The patient showed dizziness, palpitation, sweating, then there was unconsciousness, blood pressure 0 / 0mmHg, cardiac arrest. Immediate withdrawal of the drug, oxygen, giving epinephrine, furosemide, cedilanid, dopamine and other drug rescue, 10 minutes after the recovery of heartbeat, recovery consciousness after 2 hours, lungs can be heard wet rales, blood pressure 85 / 40mmHg, diagnosis: anaphylactic shock, acute pulmonary edema. 3 days