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患者男性,22岁,电工.哮喘反复发作19年,给予异丙嗪、氨苯碱、泼尼松等可以控制;过敏原筛选检查示,对10多种试剂过敏.1988年某夜发作后,在当地卫生院肌注异丙嗪,静注氨茶碱未能缓解,即给予10%葡萄糖液250mL加地塞米松10mg静滴,胸部压迫感和喘息迅速缓解.但次日中午开始感十分乏力,午后发展到不能坐起,手脚活动困难,吞咽亦感不畅,只能进流汁饮食,但意识清楚,大小便无障碍,无多尿表现,呼吸不困难,感觉存在.曾先后给予新期的明肌注和加兰他明肌注,均无效.查血钾2.5mmol/L,但无心律失常.给予口服和静滴补钾.次日夜晚即能坐起,第3天清晨恢复下床活动能力.1992年6月中旬,患者哮喘又一次发作,常规平喘治疗无效后,由于不了解上述情况,又给予地塞米松10mg静滴.上午10时左右滴完地塞米松,喘息和胸闷均明显缓解,但到下午6时左右开始极度乏力,不能自行翻身,四肢瘫痪情况
Patients male, 22 years old, electrician. Asthma recurrent for 19 years, given promethazine, aminobenzene, prednisone and so on can be controlled; allergen screening test showed that more than 10 kinds of reagents allergy .A night after the attack in 1988, Intravenous injection of promethazine in the local hospitals, intravenous aminophylline failed to alleviate, that is given 10% glucose solution 250mL plus dexamethasone 10mg intravenous infusion, chest compression and wheezing quickly ease.But at noon the next day a sense of very weak, Afternoon development can not sit up, hand and foot activities difficult, swallowing also feel sluggish, can only flow into the juice diet, but well aware, urine and urine accessibility, no symptoms of polyuria, breathing is not difficult, there has been given a new period Of the Ming muscle injection and galantamine intramuscular injection, are invalid.Check serum potassium 2.5mmol / L, but no arrhythmia .Oral and intravenous infusion of potassium. The next day that night can sit up, the first three days of recovery Bed activity .In mid-June 1992, patients with asthma attack another episode, routine antiasthmatic treatment ineffective, because they do not understand the above situation, but also given intravenous dexamethasone 10mg drip dexamethasone around 10 o’clock, wheezing and Chest tightness were significantly alleviated, but to begin at 6 pm or so extreme fatigue, can not stand up, quadriplegia Paralyzed situation