患者蒋某,女60岁,于1988年26日上午因臀部疮疹,在某基层医院就诊,T36.8℃,心率84次/分,有肺结核史,心尖区可闻及Ⅱ级收缩期杂音。以往注射针剂时曾有晕厥史(注射何药不详),余无殊。就诊后即给与林可霉素0.6g肌注,无不良反应。当日下午4时20分第2次注射林可霉素0.6g时,针头尚未拔出,患者即感口唇发麻,胸闷,心悸,呼吸困难,面色苍白。立即让患者平卧,并肌注肾上腺素1mg,但患者脉搏微 Patients Jiangmou, female 60 years old, in the morning of 26, 1988 because of buttocks sores, treatment at a grass-roots hospital, T36.8 ℃, heart rate 84 beats / min, history of pulmonary tuberculosis, apical area can be heard and Ⅱ grade systolic murmur . In the past when the injection had a history of syncope (injection what drug is unknown), I no special. Immediately after treatment given lincomycin 0.6g intramuscular injection, no adverse reactions. On the same day at 4:20 pm the second injection of lincomycin 0.6g, the needle has not been pulled out, the patient is feeling numbness, chest tightness, heart palpitations, breathing difficulties, pale. Immediately supine patients and intramuscular epinephrine 1mg, but the patient pulse micro