论文部分内容阅读
患者女、21岁,于1985年7月29日入院,7月31日开始肌注维生素B_(12),每日一次,到第六天注射时(药品同以前,批号相同)患者即感四肢麻木,心悸,注射完后瞬间出现呼吸困难,神志恍惚,面色苍白,口唇紫绀,并伴有口吐白沫,大汗。检查:双侧瞳孔等大等圆,对光反射灵敏,心率100次/分,血压听不清,心电图有心肌缺血改变及结性早搏,立即给予高流量吸氧,肌注0.1％肾上腺素1mg,静注地塞米松5mg,静滴10％葡萄糖250ml加氢化考的松100mg,及升压药处置后,患者神志转清,1小
The patient, 21 years of age, was admitted to hospital on July 29, 1985 and began to receive intramuscular injection of vitamin B 12 on July 31, once daily. By the sixth day of injection (the same drugs as before) Numbness, heart palpitations, breathing instantly after injection difficulty, trance, pale, lips cyanosis, accompanied by foaming at the mouth, sweating. Check: bilateral pupil and other large circle, sensitive to light reflection, heart rate 100 beats / min, blood pressure can not hear, ECG changes in myocardial ischemia and premature knot, immediately given high-flow oxygen, intramuscular injection of 0.1% epinephrine 1mg, intravenous injection of dexamethasone 5mg, intravenous infusion of 10% glucose 250ml hydrocortisone 100mg, and booster treatment, the patient consciousness clear, a small