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1 病例介绍 例1:女,37岁,1990年2月因上感在我院门诊青霉素皮试阴性后给肌注80万u,观察半小时后无反应让其回家,在半路上突感头昏、心慌、呼吸困难,面色苍白、口唇发绀,速送回门诊抢救,呼吸、心跳已经停止,立即给肾上腺素、激素等抢救无效而死亡。 例2:女,42岁,1992年2月因患扁桃腺炎,青霉素皮试阴性后,肌注80万u,于第三次注射后15min突感头晕、恶心、呼吸困难、脸色苍白、出汗,血压11/7kPa,立即给注射肾上腺素1ml,地塞米松5mg,扑尔敏10mg,10min后症状渐缓解,因从事护士工作,第二天在配制青霉素时又出现上述症状,以后每接触青霉素时都出现上述症状,后改行。
A case introduction Example 1: Female, 37 years old, February 1990 due to the sense of the penicillin skin test negative in our hospital after intramuscular injection of 80 million u, observed no response half an hour to let it go home, half-way surprise Dizziness, flustered, dyspnea, pale, cyanotic lips, speed sent back to the clinic for rescuing, breathing, heart rate has stopped, immediately to the adrenaline, hormones and other rescue died. Example 2: female, 42 years old, February 1992 due to tonsillitis, penicillin skin test negative, the intramuscular injection of 800000 u, 15min after the third injection sudden dizziness, nausea, difficulty breathing, pale, out Khan, blood pressure 11 / 7kPa, immediate injection of epinephrine 1ml, dexamethasone 5mg, chlorpheniramine 10mg, 10min after gradual alleviation of symptoms, due to work in nurses, the next day in the preparation of penicillin and the above symptoms appear, after each contact Penicillin appear when the above symptoms, after the diverted.