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1病例报告患者男,25岁。因咽痛、咳嗽就诊。查体:体温37.3℃,脉搏65/min,呼吸20次/min,血压115/78mmHg。初步诊断为上呼吸道感染。经皮试阴性后给予头孢曲松钠2.0g加入0.9%氯化钠注射液250ml静脉滴注,未出现不良反应。第2天继续静脉滴注,约30min后,患者出现恶心、胸闷,颈部、胸前、四肢大面积潮红及片状荨麻疹。血压140/90mmHg,脉搏100/min,呼吸25次/min。考虑为头孢曲松钠所致的迟发型变态反应。
1 case report Patient male, 25 years old. Due to sore throat, cough treatment. Physical examination: body temperature 37.3 ℃, pulse 65 / min, breathing 20 times / min, blood pressure 115 / 78mmHg. Initial diagnosis of upper respiratory tract infection. Transdermal test was given to ceftriaxone 2.0g 0.9% sodium chloride injection 250ml intravenous infusion, no adverse reactions. On the second day to continue intravenous infusion, about 30min, the patient showed nausea, chest tightness, neck, chest, limbs flushing and sheet hives. Blood pressure 140 / 90mmHg, pulse 100 / min, breathing 25 times / min. Consider the delayed type allergy caused by ceftriaxone.