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1例38岁男性患者因感冒自服安乃近3片(0.5 g/片)。约30 min后,患者出现头晕、胸闷、乏力,面部、颈部、躯干及四肢出现红色瘀点和瘀斑。3 h后因病情加重入院。查体:T37.2℃,HR 118次/min,R 32次/min,BP 30/0 mm Hg,烦躁不安,意识障碍,全身湿冷,尿失禁,双侧瞳孔散大。血常规:WBC 12.6×109/L,N0.80,PLT136×109/L。心电图示心动过速,窦性心律不齐。给予肾上腺素、地塞米松、异丙嗪、碳酸氢钠治疗,但抢救无效,患者死亡。
A 38-year-old male patient was given 3 tablets (0.5 g / tablet) of heroin as a flu. About 30 minutes later, the patient developed dizziness, chest tightness, weakness, red petechiae and ecchymoses on the face, neck, trunk and extremities. After 3 h due to aggravated admission. Examination: T37.2 ℃, HR 118 beats / min, R 32 beats / min, BP 30/0 mm Hg, restlessness, disturbance of consciousness, body wet and cold, incontinence, bilateral mydriasis. Blood: WBC 12.6 × 109 / L, N0.80, PLT136 × 109 / L. ECG showed tachycardia, sinus arrhythmia. Give epinephrine, dexamethasone, promethazine, sodium bicarbonate treatment, but the rescue is invalid, the patient died.