论文部分内容阅读
患者苏××,男,25岁,因头皮疖肿于1979年4月26日用庆大霉素治疗。首次肌注4万单位约三分钟后,感头昏;15分钟后在归途中突感恶心、呕吐、胸闷,出冷汗,四肢麻木,由行人护送入急诊室。患者近两周内未用任何药物,过去无哮喘,荨麻疹或药物过敏史。体检:体温37℃,脉博细弱,血压60/40mmHg,神清,燥动,呼吸急促,面色苍白,四肢冰凉,未见皮疹。颈软,心音低钝,心率130次/分,齐。血象:白细胞总数12000/mm~3,中性75％,酸性15％,淋巴10％。入急诊室后诊断为庆大霉素
Su × ×, male, 25 years old, was treated with gentamicin on April 26, 1979 for scalp swollen. Thirty minutes after the first intramuscular injection of 40,000 units, the patient feels dizzy. After 15 minutes she returns to the emergency room with sudden nausea, vomiting, chest tightness, cold sweat and numbness. The patient has not had any medication for nearly two weeks and has had no history of asthma, hives or drug allergies in the past. Physical examination: Body temperature 37 ℃, pulse Bo weak, blood pressure 60 / 40mmHg, Shen Qing, dry move, shortness of breath, pale, cold limbs, no rash. Neck soft, low heart sound, heart rate 130 beats / min, Qi. Blood: total white blood cells 12000 / mm ~ 3, 75% neutral, 15% acidic, lymphatic 10%. Into the emergency room after diagnosis of gentamicin