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我院诊治蚂蜂蜇刺致过敏性休克1例,现摘要报告如下:患者,何××,女性,17岁,工人.于1979年7月26日1点50分急诊来院.主诉:蚂蜂蜇伤伴胸闷气急约50分钟.患者于工作时,不慎被蚂蜂(蜂种不详)隔劳动布工作服蜇伤左膝关节伸侧,自感疼痛不堪.30分钟后始感心慌、胸闷、气急不适,面色苍白,恶心欲呕,多汗,眩晕。无风团块和皮肤瘙痒。既往体健.小学时期有蜂蜇史,病前无任何不适和服药史,否认过敏史.父母体健,无过敏史.体格检查:体温37℃,脉细数,呼吸急迫28次/分,血压测不出。急重病容,精神萎靡,反应迟钝,口唇发绀。全身皮肤沮且欠温,似有花纹征,皮肤划纹征阳性.无颈强.心音低钝,心率120次/分,律齐,未闻杂音.两肺呼吸音粗,未闻水泡音和哮鸣音。腹平软,肝、脾未触及,全腹无压痛.左膝部骸骨下缘外侧有帽针头大小一伤迹,呈红色,其周围有直径2厘米一紫斑,略高出皮表,境界不清.指、
In our hospital, one case of anaphylactic shock was diagnosed and treated by ants and stings, and the summary report is as follows: Patient, He XX, female, 17 years old, worker. At 1:50 on July 26, 1979, Sting with chest tightness and shortness of breath for about 50 minutes.Patients at work, inadvertently bees bees (bee species unknown) separated by work clothes uniforms sting injury left knee extensor side, since the pain.30 minutes after the initial feeling of palpitation, chest tightness, Shortness of breath, pale, nauseous and vomiting, sweating, dizziness. Windless brim and itchy skin. Past physical health .Peak period bee stings, before the illness without any discomfort and medication history, history of denial of allergy.Parents health, no history of allergies.Physical examination: temperature 37 ℃, pulse breakdown, respiratory urgency 28 beats / min, Blood pressure can not be measured. Serious illness, apathetic, unresponsive, cyanotic lips. Whole body skin is depressed and owe temperature, it seems to have the sign of the pattern, the sign of the skin is markedly positive. There is no neck strong, the heart sound is low and the heart rate is 120 beats / min, Wheeze. Abdomen flat soft, liver, spleen not touched, the whole abdomen without tenderness. Left knee bony lower edge of the outer edge of the cap needle size of a wound, red, around the diameter of 2 cm a purple, slightly above the skin table, the realm is not Clear