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患者女,24岁,职工。主诉发热、头痛、咽痛、咳嗽。以往无过敏及心脏病史。检查:一般情况好,咽充血,扁桃体肿大Ⅰ°,心肺(-),其余未见异常。诊断为上呼吸道感染。经青霉素皮试阴性后,给予青霉素80万~u肌注,5min后患者出现头晕、胸闷、心悸、出冷汗,血压12/10KPa,双肺(-),心律不齐,无杂音,神经系统(-)。经肾上腺素及脱敏,营养心肌等对症治疗,8h后复查心电图恢复正常。
Female patient, 24 years old, worker. Chief complaint fever, headache, sore throat, cough. In the past no history of allergies and heart disease. Check: the general situation is good, pharyngeal congestion, tonsil enlargement I °, cardiopulmonary (-), the rest without exception. Diagnosis of upper respiratory tract infection. After penicillin skin test negative, given penicillin 800000 ~ u intramuscular injection, after 5min patients with dizziness, chest tightness, palpitations, a cold sweat, blood pressure 12 / 10KPa, lung (-), arrhythmia, no noise, nervous system -). Adrenaline and desensitization, nourishing the myocardium and other symptomatic treatment, 8h after the review ECG returned to normal.