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患者赵某,男性,25岁,战士。因上腹部突然持续性疼痛5小时,于1981年1月18日15时45分急诊入院。诊断:胃穿孔、泛发性腹膜炎、代谢性酸中毒。给予补液,纠正酸中毒,急诊手术。在硬膜外麻醉下行胃大部切除术中,于19时输入AB型血300毫升。19时45分出现寒战,肌肉注射非那根25毫克,寒战加重,20时又肌肉注射杜冷丁加非那根。20时30分躁动不安,用氯胺酮80毫克。20时45分出现血尿,体温39.8℃,考虑为输血溶血反应,即刻停止输血(已输入280毫升),快速输入10%葡
Patient Zhao, male, 25 years old, warrior. Due to a sudden persistent pain in the upper abdomen 5 hours, at 15:45 on January 18, 1981 emergency admission. Diagnosis: gastric perforation, peritonitis, metabolic acidosis. Give rehydration, correct acidosis, emergency surgery. During subtotal gastrectomy under epidural anesthesia, 300 ml of type AB blood was injected at 19:00. 19:45 chills, intramuscular injection of phenanthrene 25 mg, chills worse, at 20 o’clock and intramuscular injection of pethidine. 20:30 restlessness, with ketamine 80 mg. At 20:45 hematuria, body temperature 39.8 ℃, consider transfusion hemolytic reaction, immediately stop transfusion (280 ml has been entered), quickly enter 10% of Portuguese