论文部分内容阅读
患者为男性,53岁,因左肺中心型鳞癌行左全肺切除术,术前一周肌注青霉素钠80万(?)Bid,卡那霉素0.5gBid。术后当日给予10%葡萄糖注射液500ml 内加先锋霉素5.0g、卡那霉素1.0g 静滴,滴完后10min,患者烦燥,开始出现红色粟粒样皮疹,即刻肌注非那根25mg,地塞米松5mg,3h 后症状全部消失,次日输完上述液体后,又出现类似症状.第三日改10%葡萄糖注射液500ml 内加红霉素1.0g、卡那霉素1.0g 静滴,仍出现过敏现象。患者自述一月前静推50%葡萄糖注射液40ml 出现休克。第四日改用0.9%生理盐水注射液500ml 内加先锋霉素5.0g、卡那霉素1.0g 静滴,患者无任何不适,滴至22天停用。第23日,在充分准备下,用10%葡萄糖注射液60滴/min 静滴,15min 时,患者感
The patient, male, was 53 years old. Left lung pneumonectomy was performed on the left-center lung squamous cell carcinoma. An intramuscular injection of penicillin 800,000 (?) Bid and kanamycin 0.5g Bid were performed during the previous week. On the day after the operation, 500 ml of 10% dextrose injection was added with 5.0 g of cephalosporin and 1.0 g of kanamycin intravenously. After 10 minutes of instillation, the patient was irritated and the red miliary rash started to appear. Immediate intramuscular injection of phenylephrine 25 mg , Dexamethasone 5mg, 3h after all the symptoms disappear the next day after the infusion of the above liquid, there are similar symptoms on the third day to change 10% glucose injection 500ml plus erythromycin 1.0g, kanamycin 1.0g static Drops, there are still allergies. Patients reported a static push 50% glucose injection 40ml shock occurred a month ago. The fourth day to 0.9% saline injection 500ml plus cephalosporins 5.0g, kanamycin 1.0g intravenous infusion, the patient without any discomfort, dropping to 22 days disabled. On the 23rd day, with adequate preparation, 60 drops / min of intravenous infusion of 10% glucose was injected intravenously. At 15 minutes, the patient’s feeling