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患者男,65岁。为治疗糖尿病口服降糖舒4天,未取其它药物。3天前感全身不适、双膝关节肿痛,2小时前突感恶心、出汗,下腹部阵发性绞痛,伴血样便。 检查:T37.3℃,R19次/min,P110次/min,Bp6/2.4kPa。口唇苍白,四肢厥冷,臀部及双下肢皮肤可见对称性分布的斑疹,呈紫红色,略高出于皮肤。脐周及下腹部压病,无反跳痛。双下肢膝关节浮肿、压痛。首先按休克处理,皮下注射肾上腺素1mg,阿拉明20mg加入10％葡萄糖液500ml中静滴,15分钟后血压回升,40分钟后休克症状完全缓解。
Male patient, 65 years old. Oral hypoglycemic treatment for diabetes 4 days, did not take other drugs. 3 days ago feeling full body discomfort, double knee swelling and pain, 2 hours ago disgusting nausea, sweating, paroxysmal abdominal colic, with blood samples. Check: T37.3 ℃, R19 times / min, P110 times / min, Bp6 / 2.4kPa. Pale lips, extremities Jueleng, hips and lower extremity skin visible symmetry of the distribution of the spot was purple, slightly higher than the skin. Umbilical cord and lower abdominal pressure disease, no rebound tenderness. Lower extremity knee edema, tenderness. First press shock treatment, subcutaneous injection of epinephrine 1mg, Alamin 20mg 10% glucose solution 500ml intravenous infusion, 15 minutes after blood pressure rise, 40 minutes after the shock symptoms were completely relieved.