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患者,男,9岁。因持续发热39℃以上而入院。查体:T39.1℃,咽部略显红肿,白细胞12.0×10~9/L,其他检查未见异常。医嘱10％葡萄糖250ml加青霉素G钠480万U,病毒唑0.3g,静脉滴注。经青霉素过敏试验,呈(一)。用药10分钟后,患儿喊腹痛难忍,面色苍白,痛苦异常。即刻停药,腹部检查未见异常,全身检查没有皮疹等出现,心跳略快。30分钟后,患儿腹痛慢慢消失。第二天,因鉴于前一天的情况,改为肌注青霉素G钠80万U,bid,皮肤过敏试验仍为(一)。注射时未有异常,15分钟后,患儿又称腹痛,后又自行慢慢消失。据其家属回忆,该患儿以住应用青霉素时也出现过腹痛现象,可见腹痛却为青霉素过敏所致。
Patient, male, 9 years old. Due to persistent fever over 39 ℃ and admission. Physical examination: T39.1 ℃, slightly swollen pharynx, white blood cells 12.0 × 10 ~ 9 / L, other tests showed no abnormalities. Doctor’s advice 10% glucose 250ml plus penicillin G 4800000 U, ribavirin 0.3g, intravenous drip. Penicillin allergy test, was (a). 10 minutes after treatment, children called abdominal pain unbearable, pale, painful exception. Immediate withdrawal, abdomen examination no abnormalities, systemic examination no rash appears, slightly faster heartbeat. After 30 minutes, children with abdominal pain slowly disappear. The next day, given the previous day’s situation, instead of intramuscular injection of penicillin sodium 800000 U, bid, skin allergy test is still (a). Injection was normal, after 15 minutes, children also known as abdominal pain, and then slowly disappear on their own. According to the memories of their families, the children living with penicillin also appeared when the phenomenon of abdominal pain, abdominal pain, it is due to penicillin allergy.