论文部分内容阅读
病历摘要患者男,48岁,工人,于1990年11月24日上午9时因“上呼吸道感染”肌注鱼腥草注射液4ml,注射后2分钟开始出现心悸、气短、面色苍白、冷汗、四肢厥冷、神志恍惚,测血压为5.3kPa。心音低钝、心律绝对不齐,考虑为药物引起过敏性休克。立即静注肾上腺素2mg,静脉滴阿拉明,多巴胺各60mg及地塞米松20mg,舌下含救心丸、消心痛片,同时吸氧,应用阿托品,氨茶碱等药物处理。40分钟后测血压12.0/9.3kPa,神志完全恢复,抗休克药物维持10小时血压及生
Medical history Male, 48 years old, worker, at 9:00 on November 24, 1990 due to “upper respiratory tract infection” injection Houttuynia injection 4ml 2 minutes after injection began to palpitations, shortness of breath, pale, cold sweat, Extremities Jueleng, trance, blood pressure was 5.3kPa. Low heart sounds blunt, heart rhythm is absolutely missing, consider the drug caused by anaphylactic shock. Immediate intravenous injection of epinephrine 2mg, intravenous Alamin, each of dopamine 60mg and dexamethasone 20mg, sublingual containing heart pills, nifedipine, while oxygen, the application of atropine, aminophylline and other drugs. 40 minutes after the test of blood pressure 12.0 / 9.3kPa, consciousness completely restored, anti-shock drugs to maintain 10 hours of blood pressure and health