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患者,男,78岁。1984年11月26日上午11时因呼吸道感染服苯甘孢霉素0.25g(上海延安制药厂生产),服药后20分钟即感全身皮肤发痒、头昏、头胀、心慌、心闷、窒息感,即来急诊。检查:急性重病容,烦躁不安,神志恍惚;气促.全身皮肤呈团块,四肢厥冷,脉扪不清.心率102次/分,律齐,心音弱。血压“0”,EKG正常。追问病史:曾发生青霉素过敏性休克。诊断:苯甘孢霉素过敏性休克。立即肾上腺素1mg肌注,氢化可的松100mg静注,给氧。15分钟后,血压50/?mmHg,氢化可的松200mg加入5%葡萄糖500ml静滴。35分钟后,
Patient, male, 78 years old. November 20, 1984 at 11 am due to respiratory tract infection with glucorapamycin 0.25g (Shanghai Yan’an Pharmaceutical Factory production), 20 minutes after taking the feeling that the whole body itchy skin, dizziness, bloating, palpitation, heart boredom, Asphyxiation, that is to emergency. Check: acute serious illness, irritability, trance; shortness of breath. The whole body was clumpy skin, extremities Juelei, pulse palpable heart rate 102 beats / min, law Qi, weak heart sound. Blood pressure “0”, EKG normal. Asked history: Penicillin anaphylactic shock. Diagnosis: Glicapilil hypersensitivity shock. Immediate 1mg intra-epinephrine injection, hydrocortisone 100mg intravenous, oxygen. After 15 minutes, blood pressure 50 /? MmHg, hydrocortisone 200mg 5% glucose 500ml intravenous infusion. After 35 minutes,