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患者女,46岁。因反复咳嗽伴不规则发热20ｄ,青霉素和阿米卡星治疗3ｄ无效,改用氨苄青霉素治疗。皮试(-),坐位静滴,氨苄青霉素4ｇ加入0.9%生理盐水静滴,输入液体50ｍｌ时出现胸闷、心悸、气促,发现颈面部粟粒状充血性皮疹,眼睑充血,立即停药,平卧位,吸氧,肌注肾上腺素1ｍｇ,静推
Female patient, 46 years old. Due to repeated cough with irregular fever 20d, penicillin and amikacin treatment 3d invalid use of ampicillin treatment. Skin test (-), sit intravenous infusion, ampicillin 4g added 0.9% saline intravenous infusion of liquid 50ml chest tightness, palpitations, shortness of breath, found that the Ministry of the neck and miliary congestive rash, eyelid congestion, immediate withdrawal, flat Supine, oxygen, intramuscular injection of epinephrine 1mg, static push