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患者女,32岁。因头痛、咽痛、发热于1999年5月6日到我院五官科诊治。查:T38.8℃,WBC 18.0*10~9/L,NEUT％0.791,LYM％0.224,扁桃体Ⅲ°肿大伴有脓点。诊断:化脓性扁桃体炎。予百服宁0.5g*10/1.0prn,并予清开灵注射液(石家庄神威药业股份有限公司,批号:9804092)20ml加入到10％GS 250ml中静点三天及其它药物;静点开始后约6min,进液量约30ml左右,患者突然感觉心慌、憋气、呼吸困难、双眼红肿、脸及口唇青紫。查P123次/min,听诊双肺有喘呜音,诊断为药物过敏反应所致的喉头水肿。立即拔掉静滴并肌注地塞米松10mg,10min后症状好转,30min后症状大部分消失,但脸部仍有红肿,予特非那丁60mg*12/60mg bid,第三
Female patient, 32 years old. Due to headache, sore throat, fever in May 6, 1999 to our hospital ENT treatment. Check: T38.8 ℃, WBC 18.0 * 10 ~ 9 / L, NEUT% 0.791, LYM% 0.224, tonsil Ⅲ enlargement with pus point. Diagnosis: purulent tonsillitis. To a hundred serving Ning 0.5g * 10 / 1.0prn, and Qingkailing injection (Shijiazhuang Shineway Pharmaceutical Co., Ltd., batch number: 9804092) 20ml added to 10% GS 250ml in the static point three days and other drugs; static point after the start About 6min, into the liquid volume of about 30ml, the patient suddenly felt palpitation, suffocation, difficulty breathing, eyes red and swollen, face and lips bruising. Check P123 times / min, auscultation of the lungs have wheezing, diagnosis of drug-induced laryngeal edema. Immediately pull the intravenous drip and intramuscular dexamethasone 10mg, 10min after the symptoms improved, most of the symptoms disappear after 30min, but the face is still red and swollen, to the special phenacetin 60mg * 12 / 60mg bid, the third