患者,男性,46岁。因患左腮腺恶性肿瘤曾于1981年11月25日在全麻下施行左腮腺全叶摘除,左下颌骨部分截除及左颈淋巴结清扫手术。术前检查:血压正常,心肺阴性。以往无高血压、心绞痛发作史。心肺透视无异常,心电图示窦性心律、正常心电图。青霉素、链霉素及普鲁卡因皮试均阴性。手术过程顺利。半年后因左颈部又发现肿块于1982年5月8日在本院用2%普鲁卡因2毫升作局部麻醉施行淋巴结活检,手术经过顺利,但当缝合皮肤时发现患者面色苍白,出冷汗,神志不清,血压测不到,躯干可见出血性紫斑。立即肌注阿拉明 Patient, male, 46 years old. Due to the left parotid gland malignancy had on November 25, 1981 under general anesthesia left parotid total leaf removal, partial removal of the left mandible and left cervical lymph node dissection. Preoperative examination: normal blood pressure, heart and lung negative. In the past no high blood pressure, angina pectoris history. No abnormal heart and lung fluoroscopy, sinus rhythm ECG, normal ECG. Penicillin, streptomycin and procaine test were negative. The operation is smooth. Six months later, because of the left and neck and found mass in May 8, 1982 in our hospital with 2% procaine 2 ml for local anesthesia for lymph node biopsy, the operation went through smoothly, but when the sutured skin was found pale, out Cold sweat, confusion, blood pressure can not be measured, the body visible hemorrhagic purple spots. Immediately intramuscular Alamin