论文部分内容阅读
患者,女性,46岁.住院号54431.因多饮多尿、消瘦1月余诊断Ⅱ型糖尿病合并糖尿病性肾脏病变收入院.入院后经控制饮食,及应用胰岛素、达美康降糖治疗,血糖由15.29mmol/L降至8.9mmol/L,尿蛋白仍持续为++-卅,BP为19/14kPa.试用洛汀新2.5mg/日口服治疗,口服后30分钟病人骤现颜面潮红,喉头发紧,呼吸急促,唇色紫绀,四肢湿冷等.体检:BP10.5kPa,意识、清晰,肺部听诊无罗音,心率70次/分,律齐.即予吸氧、肌注非那根25mg和地塞米松5mg,皮下注射肾上腺素0.3mg.10分钟后症状缓解,
Patients, female, 46 years old. Hospital number 54431. Due to drink more urine, weight loss more than 1 month diagnosis of type II diabetes with diabetic nephropathy income hospital admission after controlled diet, and the application of insulin, Blood sugar decreased from 15.29mmol / L to 8.9mmol / L, urine protein continued to be ++ - 卅, BP was 19 / 14kPa. Trial Lotensin 2.5mg / day orally, 30 minutes after oral administration, Laryngeal tightness, shortness of breath, cyanosis, cold and limbs, etc. Physical examination: BP10.5kPa, consciousness, clear, lung auscultation without rales, heart rate 70 beats / min, law Qi. Root 25mg and dexamethasone 5mg, subcutaneous injection of epinephrine 0.3mg.10 minutes after the symptoms were relieved,