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1例65岁男性患者,因肾绞痛使用双氯芬酸钠栓(50 mg)1,0 min后出现颜面及全身皮肤发红、胸闷、呼吸急促,心率增快、烦躁不安。立即给予吸氧(3 L/min),静脉滴注10%葡萄糖500 ml,地塞米松10 mg入莫菲滴管和皮下注射盐酸肾上腺素1.0 mg,症状好转。70 min后患者再次出现烦躁不安、呼吸急促、心率增快,再次给予盐酸肾上腺素0.5 mg皮下注射。20 min后患者逐渐安静,呼吸平稳,使用双氯芬酸钠栓10 h后颜面与皮肤潮红消失。
A 65-year-old man presented with facial and systemic redness, chest tightness, shortness of breath, rapid heartbeat and irritability after using diclofenac sodium suppository (50 mg) for renal colic for 1,0 min. Immediately, oxygen (3 L / min), intravenous infusion of 10% glucose 500 ml, dexamethasone 10 mg into the Murphy pipette and subcutaneous injection of epinephrine hydrochloride 1.0 mg, the symptoms improved. 70 minutes after the patient again irritability, shortness of breath, heart rate increased again given 0.5 mg epinephrine hydrochloride subcutaneous injection. After 20 min, the patient gradually became quiet and breathed steadily. After using diclofenac sodium suppository for 10 h, the facial and skin flush disappeared.