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李某,男,20岁,战士。1980年9月18日夜急诊就医。患者深夜出车归来,吃大米饭与炒豆角小半碗,约10分钟后先感上腹部及胸前闷胀不适,继而出现哮喘、心慌、喉头紧缩感、咽部及双耳奇痒、额部及双眼睑明显水肿、鼻塞,并流大量清涕。20分钟后全身出现大量荨麻疹。体检:体温36.8℃,血压110/75,脉搏97次。额部及双眼睑水肿,全身有多量荨麻疹,呈团块状,鼻翼水肿,多清涕,张口呼吸。心率快,两肺有明显哮鸣音,腹软无压痛,肝脾未触及。当即皮下注射肾上腺素1mg,氨
Lee, male, 20 years old, warrior. September 18, 1980 Night emergency medical treatment. The patient returned home late at night to eat rice and fried beans a small bowl, about 10 minutes after the first sense of the abdomen and chest stuffy discomfort, followed by asthma, palpitation, throat tightening, pharynx and binaural itching, forehead And double eyelid obvious edema, nasal congestion, and flow a large number of clear tears. After 20 minutes a lot of urticaria appeared in the body. Physical examination: body temperature 36.8 ℃, blood pressure 110/75, pulse 97 times. Department of forehead and double eyelid edema, the body has a large amount of urticaria, was massive, nasal edema, more clear tears, mouth breathing. Fast heart rate, lungs have significant wheeze, soft abdominal tenderness, liver and spleen not touched. Immediately subcutaneous injection of epinephrine 1mg, ammonia