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例1:女,55岁。诊断:哮喘性支气管炎。处理:青霉素(华北制药厂,批号910309c)80万单位肌注,2次/日。1991年7月11日8点39分青霉素注射半小时后,自感心悸,头晕,到诊室就诊时突然晕倒,面色苍白,四肢厥冷,随之意识丧失。检查:血压“0”,无心音,无脉搏,呼吸微弱。抢救:立即拳击心前区,体外心脏按摩,吸氧,肌注氟米松10mg。肾上腺素1mg,山梗菜碱3mg,同时静脉滴注10％葡萄糖500ml加氟米松25mg。4分钟心跳恢复,继续肌注氟米松10mg。9点1O分BP11.99/9,33kPa,9点50分BP稳定在16.79/10.66kPa。EKG示:冠状动脉供血不全。改用红霉素120万单位加5％葡萄糖1次/日,静滴一周,病情好转,随访10个月无不良反应。
Example 1: Female, 55 years old. Diagnosis: Asthmatic bronchitis. Treatment: penicillin (North China Pharmaceutical Factory, lot number 910309c) 800000 units intramuscular injection, 2 times / day. July 11, 1991 at 8:39 penicillin injection half an hour later, self-inductance palpitations, dizziness, suddenly went to the clinic fainting, pale, extremities Jueleng, followed by loss of consciousness. Check: blood pressure “0”, no heart sound, no pulse, weak breath. Rescue: Immediate Boxing precincts, in vitro heart massage, oxygen, muscle injection of flumethasone 10mg. Epinephrine 1mg, Cyproterin 3mg, while intravenous infusion of 10% glucose 500ml flumethasone 25mg. 4-minute heartbeat recovery, continue intramuscular injection of flumetasone 10mg. 9:00 1O minutes BP11.99 / 9, 33kPa, 9:50 BP stable at 16.79 / 10.66kPa. EKG shows: Coronary artery insufficiency. Use erythromycin 120 million units plus 5% glucose 1 times / day, intravenous infusion of a week, the condition improved, followed up 10 months without adverse reactions.