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例1.男性,48岁,既往有陈旧性前壁心梗及青霉素过敏史,因高粘血症住院,次日始给予低分子右旋糖酐250毫升,每日1次静滴,20滴/分,第5天,当滴入150毫升时,突然寒战、恶心、呕吐、血压下降至9.5kPa(72/37mmHg)皮肤潮湿,出凉汗,无尿,口唇四肢末梢青紫,诊为过敏性休克,立即停止静滴低分子右旋糖酐,给予地塞米松20毫克,多巴胺40毫克,闻羟胺20毫克,加5％葡萄糖液300毫升静滴,扑尔敏25毫克肌注。吸氧等急救措施。上述所用地塞米松,多巴胺剂量连用5天,使血压上升到16/10kPa(120/75mmHg)病情转危为安。 例2:男性,64岁,以陈旧性下壁心梗,心绞痛入
Example 1. Male, age 48, with previous history of anterior anterior wall myocardial infarction and penicillin allergy, hospitalized for hyperviscosity, starting with 250 mL of low molecular weight dextran on the following day, daily intravenous infusion of 20 drops / The first 5 days, when dropping 150 ml, suddenly chills, nausea, vomiting, blood pressure dropped to 9.5kPa (72 / 37mmHg) skin moist, cool, no urine, lips and limbs bruising, diagnosed as anaphylactic shock, immediately Stop intravenous infusion of low-molecular dextran, given dexamethasone 20 mg, 40 mg of dopamine, hydroxylamine 20 mg, plus 5% glucose solution 300 ml intravenous chlorpheniramine 25 mg intramuscular injection. Oxygen and other first aid measures. The above dexamethasone, dopamine dose for 5 days, the blood pressure rose to 16 / 10kPa (120 / 75mmHg) turn critically ill. Example 2: Male, 64 years old with an inferior inferior myocardial infarction, angina pectoris