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近3年来,我科广泛应用静脉滴注甲硝唑(灭滴灵)注射液,用于手术前及手术后抗厌氧菌的治疗,收到满意效果。最近遇1例静脉滴注甲硝唑注射液而突然死亡,报告如下。病历摘要:患者,女性,25岁,住院号872823。于1987年6月23日因上腹部疼痛、发烧10天,门诊以胆囊炎,肝脓肿待排除收入内科。有胆囊炎病史10多年,发作间期不定,每次经中西药治疗好转。本次发病后在外院治疗5天,腹痛无缓解,体温持续在38.5℃,脉搏110次,血压90/60毫米汞柱,神志清,皮肤弹性差,轻度黄疸,浅表淋巴结不肿大,巩膜中度黄染,颈软,颈静脉无怒张,胸廓无畸形,心率110次/分、律齐,各瓣膜区无病理性杂音,双肺呼吸音正常,腹部平坦,右肋间隙饱满,压痛明显,叩击痛(++),右
The past 3 years, our department widely used intravenous infusion of metronidazole (metronidazole) injection for anti-anaerobic treatment before and after surgery, received satisfactory results. I recently encountered a case of intravenous infusion of metronidazole and suddenly died, the report is as follows. Medical record summary: Patient, female, 25 years old, hospital number 872823. On June 23, 1987 due to upper abdominal pain, fever 10 days, out-patient cholecystitis, liver abscess to be excluded income medical. Have a history of cholecystitis more than 10 years, episodes of uncertain, each time the improvement of Chinese and Western medicine. After the onset of treatment in the hospital for 5 days, abdominal pain without remission, body temperature continued at 38.5 ℃, pulse 110 times, blood pressure 90/60 mm Hg, conscious clear, poor skin elasticity, mild jaundice, superficial lymph nodes are not swollen, Sclera moderate yellow dye, neck soft, no jugular vein engorgement, thoracic no deformity, heart rate 110 beats / min, law Qi, the valve area no pathological noise, normal lung breath sounds, flat abdomen, right intercostal space full, Tenderness, percussion pain (++), right