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1例74岁女性急性菌痢患者入院治疗。经过抗感染药、补液、扩容、多巴胺、间羟胺治疗后休克未能纠正。之后,给予参附注射液20 ml加入5%葡萄糖注射液20 ml静脉注射;参附注射液80 ml加入5%葡萄糖注射液500 ml中静滴。30余分钟后患者血压从60/40 mm Hg升至90/60 mm Hg,但出现心律不齐,房性早搏8~12次/min;立即停用参附注射液并改用羟乙基淀粉500 ml静滴。30余分钟后早搏消失。
A 74-year-old woman with acute bacillary dysentery was admitted to hospital. After anti-infectives, rehydration, dilatation, dopamine, meta-hydroxylamine shock treatment failed to correct. After that, give Shenfu injection 20ml add 5% glucose injection 20ml intravenous injection; Shenfu injection 80ml add 5% glucose injection 500ml intravenous infusion. After more than 30 minutes, the patient’s blood pressure increased from 60/40 mm Hg to 90/60 mm Hg, but arrhythmia and atrial premature beats occurred 8 to 12 times / min. Immediately, Shenfu injection was discontinued and hydroxyethyl starch 500 ml intravenous infusion. Premature beats disappeared after more than 30 minutes.