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近两年来,我们曾遇到二例肌注庆大霉素发生急性过敏性休克,其中一例抢救脱险,另一例抢救无效而死亡。例一,魏××,男,14岁,学生。患儿6天前因游泳受凉,发烧,咽痛,纳差,体温38.4℃。检查:咽红肿,双侧扁桃体Ⅱ°肿大。诊断:急性扁桃体炎。给青霉素40万单位(皮试阴性)、链霉素0.5,混合肌注,当即自感头晕,胸闷,面色苍白,唇青紫,脉细速,大汗淋漓。立即肌注副肾素1毫克,静注33％葡萄糖100毫升,卧床休息半小时,缓解如正常人。3天后因发烧不退,咽痛加重,又
In the past two years, we have encountered two cases of acute allergic shock with intramuscular injection of gentamicin, of which one died of rescue and the other died of ineffective rescue. Example 1, Wei × ×, male, 14 years old, student. Children 6 days ago due to swimming cold, fever, sore throat, anorexia, body temperature 38.4 ℃. Check: swollen pharynx, bilateral tonsil enlargement. Diagnosis: Acute tonsillitis. Give penicillin 400,000 units (skin test negative), streptomycin 0.5, mixed muscle injection, immediately feel dizzy, chest tightness, pale, lips bruising, pulse speed, sweating. Immediate intramuscular adrenal 1 mg, intravenous injection of 33% glucose 100 ml, bed rest for half an hour, relieve such as normal. After 3 days because of fever, sore throat aggravated, again