论文部分内容阅读
患者,男,43岁.1992年3月13日因头昏、头痛、胸闷10余年加重半月就诊.查体:一般情况尚好,血压28/15kPa.心电图提示:窦性心律,左室肥大劳损.诊断:高血压病,冠心病.给予降压、扩冠等药物(尚未口服)并肌注辅酶Q_(10)注射液10mg.注射后约30分钟患者出现心悸、胸闷、呼吸困难并感上肢、前胸、大腿搔痒难忍.检查:面部发红,口唇无紫绀,心率94次/分,双上肢、前胸及大腿内侧皮肤弥漫性发红,并散发性出现粟粒大小的红色斑丘疹,压之退色.即给予吸氧,肌注非那根
Patients, male, aged 43. March 13, 1992 due to dizziness, headache, chest tightness more than 10 years to increase the half-month treatment. Physical examination: the general situation is good, blood pressure 28 / 15kPa. ECG tips: sinus rhythm, left ventricular hypertrophy strain. Diagnosis: Hypertension, coronary heart disease .Be given antihypertensive, coronary and other drugs (not orally) and intramuscular injection of coenzyme Q_ (10) injection of about 10 minutes after injection of patients with heart palpitations, chest tightness, difficulty breathing and upper limb, Chest, thigh itch unbearable.Check: facial redness, cyanotic lips, heart rate 94 beats / min, double upper extremity, chest and thighs inside the skin diffuse redness, and the sporadic occurrence of miliary red papules, pressure Of the fade. That is to give oxygen, intramuscular injection of non-root