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例1:女,56a,既往无药敏史.入院前一周,因慢性支气管炎复发,在家用洁霉素、麦白霉素等治疗,疗效不显而入我院。检查:双肺底散在干湿啰音,胸部拍片示肺部感染。予5%葡萄糖盐水400ml 加头孢唑啉钠4.0加地塞米松5mg 静点,1次/d,滴速50滴/min。治疗的 d2,患者症状消失,肺啰音减少;地塞米松减量至停用后2d,患者无不良反应。d8再静点头孢唑啉钠约10min 时,患者突然两眼睑高度浮肿,睁眼受限,并感喉头发紧,声嘶,喘憋,呈端坐呼吸,周身皮肤布满粟粒样红丘疹,剧痒.血压17.6/8kPa,脉细弱,双肺闻广泛哮鸣音.立即停输头孢唑啉钠,吸氧,静注地塞米松10mg,非那根25mg,10%葡萄糖液
Example 1: female, 56a, no past history of drug-resistant. One week before admission, due to recurrence of chronic bronchitis, home lincomycin, malimin treatment, the effect was not significant into our hospital. Check: Dry lungs at the end of wet and dry rales, chest film shows lung infection. To 5% dextrose 400ml plus cefazolin sodium 4.0 plus dexamethasone 5mg static point, 1 times / d, drip speed 50 drops / min. Treatment of d2, the patient disappeared, pulmonary rales decreased; dexamethasone reduction to disable 2d, patients without adverse reactions. d8 and then cephalosporin sodium cefazolin about 10min, the patient suddenly eyelid edema, limited eyes open, and flu throat tight, hoarseness, wheezing, was sitting and breathing, the whole body covered with miliary papules, Drained itchy blood pressure 17.6 / 8kPa, weak pulse, lung extensive wheeze heard immediately stop cefazolin sodium, oxygen, intravenous dexamethasone 10mg, non-root 25mg, 10% glucose solution