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1例27岁女性因产后出血,给予卡前列素氨丁三醇注射液250μg子宫肌内注射。5 min后,患者突然出现胸闷、胸痛、心慌。先后给予地塞米松、麻黄碱、甲泼尼龙静脉滴注。症状未缓解并发展为大汗、意识模糊。心电监测T波振幅增高,血压降至70/40 mm Hg(1 mm Hg=0.133 kPa)。诊断为过敏性休克。立即给予硝酸甘油及抗过敏治疗。3 h后症状逐渐缓解,血压升至100/60 mm Hg。
A 27-year-old woman was given an intramuscular injection of 250 μg intrauterine injection of carboprost tromethamine injection due to postpartum hemorrhage. After 5 minutes, the patient suddenly had chest tightness, chest pain, palpitation. Has given dexamethasone, ephedrine, methylprednisolone intravenous infusion. Symptoms did not ease and develop sweat, confusion. T wave amplitudes increased with ECG monitoring and blood pressure was reduced to 70/40 mm Hg (1 mm Hg = 0.133 kPa). Diagnosis of anaphylactic shock. Give nitroglycerin and anti-allergy treatment immediately. Symptoms gradually eased after 3 h, and blood pressure rose to 100/60 mm Hg.