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患者,男,40岁,工人,1992年5月20日入院。因患急性肠炎,口服两粒利福平胶囊(0.3g),约20min,患者感觉胸闷、头痛、寒颤、恶心、立即送我院急诊科诊治。查体:脉博微弱,血压12.0/8.0Kpa,身有散在皮疹,体温38℃、气短、大汗,有窒息感,喉头充血粘膜水肿,言语不清,喉头后壁充血,诊断为速发型药物过敏反应。立即给予地塞米松注射液10mg,静注副肾素1mg。用药后脉博120次/分,血压16.0/12.0kpa,继而输液,静滴氢化可的松200mg,
Patient, male, 40 years old, worker, admitted to hospital on May 20, 1992. Due to acute enteritis, two oral rifampicin capsules (0.3g), about 20min, the patient feels chest tightness, headache, shivering, nausea, immediately sent to our hospital emergency department diagnosis and treatment. Physical examination: weak pulse, blood pressure 12.0 / 8.0Kpa, body scattered rash, body temperature 38 ℃, shortness of breath, sweating, apnea, throat congestion mucosal edema, vomiting, throat posterior wall hyperemia, the diagnosis of immediate drug Allergic reaction. Immediately given dexamethasone injection 10mg, intravenous injection of adrenaline 1mg. After treatment, pulse 120 times / min, blood pressure 16.0 / 12.0kpa, then infusion, intravenous hydrocortisone 200mg,