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1 病例报告例1:男,74岁,因椎基底动脉供血不足于1990年8月6日住院.住院当日即给低分于右旋糖酐500ml加川芎嗪80mg静点,每日一次,至第三天液体输入约200ml左右,病人突感头晕、胸闷、寒战,口唇及四肢末梢明显紫绀,测血压17/11kPa,心率100次/分,律齐.当即考虑输液反应,停用低分子有旋糖酐改林格氏液静滴,苯海拉明20mg肌注.10分钟后测血压9/7kPa,体温40℃,给0.1%肾上腺素1ml皮下注射,地塞米松10mg静注,快速补充血容量,吸氧及升压治疗,根据血气分析结果纠正酸中毒.4小时后血压回升,病情稳定.次日查GPT276.5U,黄疸指数12.入院时此两项化验正常.加用保肝药
1 Case Report Example 1: Male, 74 years old, hospitalized for vertebrobasilar insufficiency on August 6, 1990. The day of hospitalization was given dextran 500mg plus tetramethylpyrazine 80mg intravenously once daily until the third day Liquid input about 200ml, the patient suddenly felt dizzy, chest tightness, chills, lips and limbs were obviously cyanotic, blood pressure 17 / 11kPa, heart rate 100 beats / min, law Qi. Immediately consider the infusion reaction, Change Ringer’s solution intravenous injection, diphenhydramine 20mg intramuscular injection .10 minutes later measured blood pressure 9 / 7kPa, body temperature 40 ℃, 1ml 0.1% subcutaneous injection of epinephrine, dexamethasone 10mg intravenous injection of rapid blood volume, Oxygen and blood pressure treatment, according to the results of blood gas analysis to correct acidosis .4 hours after blood pressure rise, stable condition .Check GPT276.5U the next day, jaundice index 12. Admission of the two tests were normal.