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患者女,38岁,因咳嗽气喘20年,心悸、气短5年加重伴全身水肿10天,于1990年12月10日入院。经体检和多项实验检查,诊断:喘息性支气管炎,肺心病心哀Ⅲ度。患者有青霉素延迟反应史。入院后予以红霉素、庆大霉素、利尿剂、扩血管药等治疗,水肿消退,自觉症状好转。因咳嗽、肺部罗音不消失,12月29日拟肌注氨苄青霉素2g,约10分钟后,病人感剧烈头痛,恶心,呕吐3次,肌注高乌甲素、杜冷丁无效。半小时后,患者突然面包青紫,牙关紧闭。神志不清,两眼上翻,面肌
Female, 38 years old, cough and asthma for 20 years, palpitations, shortness of breath 5 years aggravated with systemic edema for 10 days, on December 10, 1990 admitted. After physical examination and a number of laboratory tests, diagnosis: wheezing bronchitis, pulmonary heart disease heart mourn Ⅲ degrees. Patients have a history of penicillin delayed response. After admission to erythromycin, gentamicin, diuretics, vasodilators and other treatment, edema subsided, subjective symptoms improved. Due to cough, pulmonary rales do not disappear, December 29 to intramuscular ampicillin 2g, about 10 minutes later, the patient felt severe headache, nausea, vomiting 3 times, intramuscular injection of lappaconitine, pethidine invalid. Half an hour later, the patient suddenly bruised bread, teeth closed. Confusion, his eyes turned up, facial muscles