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例1:男性,36岁,于2003年9月6日14时45分在酒后约2 h 突感上腹部及脐周痉挛性疼痛,伴恶心呕吐,急诊。检查后拟诊:急性食源性胃肠炎。输完生理盐水、维 C、山莨菪硷后,用0.9%生理盐水100ml 滴注冲洗输液器,输左氧氟沙星100 ml/瓶(0.2g),当输入约10min 时(30 gtt/min)病人突然出现心慌气短、胸闷、畏寒冷汗、四肢发冷等症状。急诊测血压50/40 mmHg,脉细弱,心率130次/min,律齐,两肺呼吸音稍减弱,腹软,肝脾未扪及。神经系统检查未发现病理反射。急诊左氧氟沙星急性过敏性休克。立即停止用药,吸氧,5%葡萄糖酸钙20 ml 加入10%葡萄糖液20 ml 静脉推注。同时肌注异丙嗪25 mg,地塞米松15 mg 加入10%葡萄糖液500 ml 静脉滴注。经积极抢救约10 min 后病人上述症状减轻,30 min 后测血压恢复至135/75 mmHg,病情好转。4
Example 1: Male, 36 years old, at 14:00 on September 6, 2003 At 1445 hours, the patient experienced sudden onset of upper extremity and ci-spastic pain about 2 hours after drinking, accompanied by nausea and vomiting, and emergency department. Check after diagnosis: acute food-borne gastroenteritis. After infusion of normal saline, Victoria C, and anisodamine, infusions were infused with 0.9% normal saline in a volume of 100 ml, and levofloxacin 100 ml / bottle (0.2 g) was infused. Patients suddenly appeared when the input was about 10 min (30 gtt / min) Flustered shortness of breath, chest tightness, chills, cold limbs and other symptoms. Emergency blood pressure 50/40 mmHg, pulse weak, heart rate 130 beats / min, law Qi, lung breath sounds slightly weakened, abdominal soft, liver and spleen not palpable. Nervous system examination found no pathological reflex. Emergency levofloxacin acute anaphylactic shock. Immediately stop medication, oxygen, 5% calcium gluconate 20 ml added 10% glucose solution 20 ml intravenous injection. At the same time intramuscular injection of promethazine 25 mg, dexamethasone 15 mg 10% glucose solution 500 ml intravenous infusion. After about 10 minutes of active rescue, the symptoms of the patients were relieved. After 30 minutes, the blood pressure was recovered to 135/75 mmHg. The condition improved. 4