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1病例报告患者男,21岁。新兵。正常左上臂三角肌内接种重组乙型肝炎疫苗20min后出现气短、胸闷、头晕、恶心,伴全身皮肤瘙痒,继而颈部、胸部皮肤大片潮红,散在大小不等的丘疹。查体:体温37.9℃,脉搏82/min,呼吸18次/min,血压110/82mmHg。结合患者既往有青霉素和磺胺药物过敏史的情况,考虑
1 case report Patient male, 21 years old. Recruits. Normal left upper quadrant deltoid inoculated recombinant hepatitis B vaccine 20min after shortness of breath, chest tightness, dizziness, nausea, with systemic skin itching, then neck, chest skin flushing, scattered in different sizes of papules. Physical examination: body temperature 37.9 ℃, pulse 82 / min, breathing 18 times / min, blood pressure 110 / 82mmHg. Combined with the history of patients with penicillin and sulfa drug allergy history, consider