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58岁男性患者因“左膝关节外伤后疼痛2天,左髌骨骨折内固定术后2年”入院。生命体征平稳,本人否认既往有明确药物过敏史。经术前检查无禁忌证后行“左膝关节内固定物取出术”。术后给予注射用骨瓜提取物100mg加入0.9%氯化钠250ml静脉滴注,15min后患者自诉心前区及腹部不适,随之出现四肢厥冷、嘴唇发绀,血压测不到,考虑为过敏性休克,立即给予抗休克治疗;急救时出现意识丧失,呼吸心搏停止,及时实施常规心肺复苏、气管插管及药物复苏、电复律等措施,经全力抢救无效死亡。
The 58-year-old male patient was admitted for “2 days after left knee joint trauma and 2 years after left patellar fracture fixation.” Vital signs stable, I denied the past history of a clear drug allergy. After the preoperative examination without contraindication “left knee internal fixation removal technique ”. Postoperative injection of 100 mg of cantaloupe extract with 0.9% sodium chloride 250ml intravenous infusion, 15 minutes after the patient complained of precordial and abdominal discomfort, followed by extremities Jueleng, lips cyanosis, blood pressure can not be measured, consider the allergy Sexual shock, immediately given anti-shock treatment; first aid when loss of consciousness, respiratory arrest stopped, the timely implementation of routine cardiopulmonary resuscitation, tracheal intubation and drug recovery, cardioversion and other measures, died after full rescue invalid.