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1病例报告患者女,36岁,80kg,因咽部疼痛于2012年8月11日到我院急诊,血常规示白细胞13.0×109/L、中性粒细胞0.9,诊断为急性上呼吸道感染,遂给予静脉滴注头孢唑肟钠2g、替硝唑(西安京西双鹤药业,批号120109371)0.4g。在输入替硝唑20min时患者出现寒战、心悸、胸闷、呼吸困难,血压100/50mmHg(1mmHg=0.133kPa),心率104/min,律齐,各瓣膜听诊区未闻及病理性杂音。心电图:窦性心动过速,ST段下移,T波倒置,心肌重度缺血。立即停止使用替硝唑,给予静脉滴注5%葡萄糖注射液,持续低流量吸氧,静脉注射
A case report of female patients, 36 years old, 80kg, due to pharyngeal pain in our hospital on August 11, 2012 emergency, blood showed white blood cells 13.0 × 109 / L, neutrophils 0.9, diagnosed as acute upper respiratory tract infection, Then given intravenous infusion of ceftizoxime sodium 2g, tinidazole (Xi’an Jingxi Double-Crane Pharmaceutical, batch number 120109371) 0.4g. Patients were chilled, palpitations, chest tightness, dyspnea, blood pressure 100 / 50mmHg (1mmHg = 0.133kPa), heart rate 104 / min, law Qi, the valve auscultation area did not smell pathological murmurs. ECG: sinus tachycardia, ST segment down, T wave inversion, severe myocardial ischemia. Immediately stop tinidazole, intravenous infusion of 5% glucose injection, sustained low flow oxygen, intravenous injection