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1病例资料患者女,29岁。因左侧腮腺肿痛4d,于2011年4月15日在当地社区卫生服务中心就诊,诊断左侧腮腺炎。给予静滴5%葡萄糖注射液250ml+双黄连注射液(河南福森药业有限公司,批号:Z41020750)40ml。输注约20min时,患者出现寒战、恶心等不适,遂停止输液。给予头孢哌酮/舒巴坦、利巴韦林、地塞米松,5min后出现胸痛、头晕等不适,测血压80/20mmHg,考虑为过敏性休克。立即皮下注射肾上腺素1mg、多巴胺升压等处理。患者转至我院。门诊资料:血常规示:白细胞计数12.08×10~9·L~(-1),中性粒细胞比值79.4%,血红蛋白、血小板计数正常。肌钙蛋白0.164ng·ml~(-1)。心电图:窦性心律、下壁、前壁ST段压低。以“过敏性休克,心肌损伤”收
1 case data patient female, 29 years old. Due to the left parotid gland pain 4d, on April 15, 2011 at the local community health service center for diagnosis of left parotitis. Give intravenous infusion of 5% glucose 250ml + Shuanghuanglian injection (Henan Fussen Pharmaceutical Co., Ltd., batch number: Z41020750) 40ml. About 20min infusion, patients with chills, nausea and other discomfort, then stop infusion. Given cefoperazone / sulbactam, ribavirin, dexamethasone, chest pain after 5min, dizziness and other discomfort, blood pressure 80 / 20mmHg, considered as anaphylactic shock. Immediate subcutaneous injection of epinephrine 1mg, dopamine and other treatment. Patients go to our hospital. Outpatient information: blood showed: white blood cell count 12.08 × 10 ~ 9 · L ~ (-1), neutrophil ratio 79.4%, hemoglobin, platelet count was normal. Troponin 0.164ng · ml ~ (-1). ECG: sinus rhythm, inferior wall, anterior ST segment depression. To “anaphylactic shock, myocardial injury ” income