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患儿男,2岁。因患“支气管肺炎、心力衰竭”入院。体温36.2℃,神志清,精神差,急性喘憋貌。鼻翼扇动,口唇紫绀,吸气三凹征明显。双肺广泛哮鸣音及细小水泡音,心音低钝,心率210次/分。腹呈蛙式膨隆,肝于右助下2.5cm,质韧,无病理反射。白细胞总数5.6×10~9/L,中性粒细胞54%,淋巴细胞46%。予以氨苄青霉素(上海第四制药厂生产,批号:841006--4)0.75g,1日2次静脉推注,并经吸氧、强心、止喘及输液治疗,青霉素皮试阴性,当第一次推注氨苄青霉素后约1分钟.突然出现面色苍白,四肢厥冷,脉搏摸不到,血压测不出,全身广泛出现淡红色斑丘疹,随即呼吸心跳停止。立即静脉注射山梗菜碱2mg、尼可刹米0.2g、阿托品0.3mg、地塞米松2.5mg、肾上腺素0.5mg,并人工呼吸,胸外心脏按压。6分钟后出现心跳,开始16次/分,渐加至156次/分,再次静
Children male, 2 years old. Due to suffering from “bronchial pneumonia, heart failure,” admitted. Body temperature 36.2 ℃, clear consciousness, poor spirit, acute asthma appearance. Nose flap, cyanotic lips, suction three concave sign obvious. Extensive lung wheezing lungs and small blisters sound, low heart sound blunt, heart rate 210 beats / min. Abdomen was frog-like bulge, the liver in the right under the help of 2.5cm, quality tough, no pathological reflex. The total number of white blood cells 5.6 × 10 ~ 9 / L, 54% of neutrophils, lymphocytes 46%. Ampicillin (Shanghai No. 4 Pharmaceutical Factory, lot number: 841006--4) 0.75g, 2 times on the 1st intravenous bolus, and by oxygen, cardiac, stop asthma and infusion therapy, penicillin skin test negative, when the first A bolus ampicillin after about 1 minute suddenly appeared pale, limbs Jueleng, pulse not touch, blood pressure can not be measured, the body appeared extensive red rash, then stop breathing. Immediately intramuscular injection of caerulein 2mg, nikethamide 0.2g, atropine 0.3mg, dexamethasone 2.5mg, epinephrine 0.5mg, and artificial respiration, chest compression. 6 minutes after the heartbeat, began 16 beats / min, gradually increased to 156 beats / min, quiet again