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患者,女,41岁,因“间断发热9 d”收入医院。查体:体温36.8℃;心率78次/min;呼吸22次/min;血压99/62 mmH g。患者于5月29日11∶30开始给予注射用氨曲南(2.0 g/次)抗感染治疗,于11∶40输注约10 ml,双手掌出现瘙痒、皮疹,立即更换为脂溶性维生素静脉滴注,症状无缓解,并出现心悸、胸闷、呼吸困难、四肢活动受限,烦躁不安、大汗淋漓、全身出现大片红色丘疹。停药并加大氧流量至5 L/min,地塞米松7.5 mg静脉推注。心电监护下心率90次/min,呼吸30次/min,血压难测出,双侧瞳孔等大等圆,约3.5 mm,对光反射存在。考虑过敏性休
Patients, female, 41 years old, due to “intermittent fever 9 d ” income hospital. Physical examination: body temperature 36.8 ℃; heart rate 78 beats / min; breathing 22 beats / min; blood pressure 99/62 mmH g. Patients were given aztreonam at 2.0 g / dose for anti-infective treatment starting at 11:30 on May 29 and about 10 ml at 11:40. Pruritus and rash on both palms were immediately replaced by fat-soluble vitamin veins Instillation, no symptoms, and palpitations, chest tightness, difficulty breathing, restricted limbs, irritability, sweating, the body appeared large red papules. Drug withdrawal and increase oxygen flow to 5 L / min, dexamethasone 7.5 mg intravenous injection. ECG heart rate 90 beats / min, breathing 30 beats / min, blood pressure difficult to measure, bilateral pupil and other large round, about 3.5 mm, the presence of light reflex. Think of allergic breaks