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现将我院数年来处理拔牙手术偶发症成功及失败的病例,简要报告如下,以供参考。一、普鲁卡因过敏性休克:患者男性,30岁,因8颊面深龋而行拔除术。以2%普鲁卡因4毫升加0.1%肾上腺素两滴做上颌结节麻醉,两分钟后病人胸前发闷、心慌、气急,检查脉搏、瞳孔正常。立即平卧,饮葡萄酒10毫升及吸入芳香亚醑后稍有好转。但旋即又感腹部不适,呼吸困难,四肢抽搐,出冷汗,面色苍白,胸前及四肢散在多数点状皮疹,瞳孔散大,对光反应迟钝,脉搏摸不到,血压60/40毫米汞柱。立即给肌肉注射尼可刹米1毫升,安息香酸钠咖啡因1毫升,并静脉注射葡萄糖60毫升,肌肉注射麻黄素1毫升,口服苯海拉明50毫克,于数分钟后甦醒。
Now our hospital for several years to deal with the success of tooth extraction and accidental cases of failure, a brief report as follows, for reference. First, procaine due to anaphylactic shock: male patient, 30 years old, due to 8 deep caries and buccal surface removal surgery. 2% procaine 4 ml plus 0.1% epinephrine two drops of maxillary nodules anesthesia, two minutes after the patient chest bored, palpitation, shortness of breath, check the pulse, the pupil normal. Immediate supine, drinking wine 10 ml and aroma inhaled a little better turnaround. But immediately felt abdominal discomfort, dyspnea, limbs twitch, a cold sweat, pale, chest and limbs scattered in the majority of punctate rash, mydriasis, unresponsive to light, pulse touch, blood pressure 60/40 mm Hg . Immediately intramuscular injection of Nicoramide 1 ml, sodium benzoate 1 ml caffeine, and intravenous injection of 60 ml of glucose, intramuscular injection of ephedrine 1 ml, diphenhydramine 50 mg, wake up after a few minutes.