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【病例】男,76岁,因头晕4 d于2011年9月3日入院。诊断:椎基底动脉供血不足。患者既往有青霉素、山茛菪碱过敏史,既往无慢性心力衰竭病史。入院BP 120/70mm Hg(1 mm Hg=0.133 kPa),给予20mL 0.9%氯化钠注射剂+前列地尔注射剂(商品名:凯时,北京泰德制药股份有限公司,批号H10980024,1 mL:5μ)10μg,iv。静注5 min后患者突然出现胸闷、大汗等不适。查体:BP 70/20mm Hg,t36.5℃,R 20次·rain~(-1),脉搏细弱测不出。神清,气平。双侧瞳孔等大等圆,直径3 mm,光反应灵敏,球结膜无水肿。两肺呼吸音清,未及啰音。
[Case] Male, 76 years old, dizziness 4 d admitted on September 3, 2011. Diagnosis: Vertebrobasilar insufficiency. Past history of patients with penicillin, aniline history of allergy, past history of chronic heart failure. Admission BP 120/70 mm Hg (1 mm Hg = 0.133 kPa) was given 20 mL of 0.9% sodium chloride injection + prostaglandin injection (trade name: Kay, Beijing Ted Pharmaceutical Co., Ltd., batch number H10980024, 1 mL: ) 10 μg, iv. 5 minutes after the intravenous injection of sudden chest tightness, sweating and other discomfort. Physical examination: BP 70 / 20mm Hg, t36.5 ℃, R 20 times rain ~ (-1), pulse can not be measured. Clear, flat. Bilateral pupil and other large circle, diameter 3 mm, light sensitive, no conjunctival edema. Breath sounds clear lungs, and rales.