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蚕蛹系蚕蛾科昆虫家蚕(Bombyx mori L.)的蛹,偶见过敏患者,但引致过敏性休克者罕见(姜凤梧等:中国药用动物志,1983)。现将我们治疗急性蚕蛹引起过敏性休克一例,报导于下。男,21岁,未婚,广东顺德人,农民,住广州市。急诊号0071。于1983年3月16日下午4时40分来我院急诊。当天中午患者食蚕蛹约150克,食后30分钟开始觉口舌发痒,眼涩不适,随后出现头面颈部瘙痒,皮肤发红和灼热感;食后4小时皮肤瘙痒遍及全身,头晕不适,恶心、呕吐、烦躁不安,继则昏仆倒地,不省人事,大、小便失禁。发病前未食过其它食物,无接触异物史,过去也无类似发病。体查:体温36.2℃,脉搏118次,呼吸29次,血压70/50。急重病容,神志欠清,呼吸稍
The pupae are pupae of the Bombyx mori L. The pupae of the Bombyx mori L. occasionally have allergy sufferers. However, those who cause anaphylactic shock are uncommon (Jiang et al., 1983). Now we treat acute cholera caused by anaphylactic shock, reported in the next. Male, 21 years old, unmarried, Guangdong Shunde people, peasants, Guangzhou City. Emergency number 0071. At 16:40 on March 16, 1983 to our hospital emergency room. At noon on the day, the patient consumed about 150 grams of silkworm pupae. After 30 minutes of eating, the tongue started to feel itchy and the eye was astringent. Then it developed pruritus on its face and neck, redness and burning sensation on the skin. Itching 4 weeks after eating itchy skin, dizziness, nausea , Vomiting, irritability, then faint fell to the ground, unconscious, large, urinary incontinence. Before the onset of other food eaten, non-contact foreign body history, no similar incidence in the past. Physical examination: body temperature 36.2 ℃, pulse 118 times, breathing 29 times, blood pressure 70/50. Severe illness, lack of consciousness, breathing slightly