论文部分内容阅读
患者女,43a,无特殊病史。因患急性支气管炎,门诊第1d给予注射用青霉素GNa(华北制药厂,批号961106,皮试阴性)800万u加入500ml 10％GS中,以80～100滴/min速度静滴。第2d病人要求改用青霉素800万u加入250ml 10％GS中静滴以缩短静滴时间,速度同上,20min左右,患者突然主诉:腰背部两侧剧烈疼痛,立即停药。查体:BP 14.3/9.7kPa,R次26/min,双肾区压痛、叩痛明显,诊断为:肾绞痛。用阿托品针0.5mg,地塞米松针5mg肌注,对症治疗,疼痛缓解,
Female patient, 43a, no special medical history. Due to acute bronchitis, 1d injection penicillin GNa (North China Pharmaceutical Factory, lot number 961106, skin test negative) 8 million u were added to 500ml 10% GS in the first day of outpatient, intravenously dripped at 80-100 drops / min. 2d patients asked to switch to penicillin 8 million u added 250ml 10% GS in the intravenous infusion to shorten the infusion time, the same speed, 20min or so, the patient suddenly complained of severe pain on both sides of the lower back, immediate withdrawal. Physical examination: BP 14.3 / 9.7kPa, R times 26 / min, kidney area tenderness, percussion pain was significantly diagnosed as: renal colic. With atropine 0.5mg needle, dexamethasone needle 5mg intramuscular injection, symptomatic treatment, pain relief,