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患者,男,30岁。1993—05—03以化脓性阑尾炎入院,当日行阑尾切除术,术后静点灭滴灵0.5g,每分钟60滴。当输入100ml后恶心、呕吐、躁动不安,继而全身皮肤潮红,且有点状皮疹,面色苍白,四肢厥冷,口唇及指甲紫绀,体温38℃,血压12/8kPa,脉搏107次/min,出现上述症状后立即停止输液;肌注盐酸异丙嗪注射液50mg;静滴5%葡萄糖500ml加氢化可的松100mg,2h后以上症状逐渐消退。当时考虑为灭滴灵所致过敏反应,次日在做好抢救工作下又静滴试验,出现同样反应,故确定为灭清灵过敏反应
Patient, male, 30 years old. 1993-05-03 to suppurative appendicitis admitted to the line line appendectomy, postoperative intravenous metronidazole 0.5g, 60 drops per minute. When the input 100ml nausea, vomiting, restlessness, and then systemic skin flushing, and a bit like a rash, pale, extremities Jue Leng, lips and nails cyanosis, body temperature 38 ℃, blood pressure 12 / 8kPa, pulse 107 beats / min, Immediately stop the infusion of the symptoms; intramuscular injection of promethazine hydrochloride injection 50mg; intravenous infusion of 5% glucose 500ml hydrocortisone 100mg, 2h after the above symptoms gradually subsided. Considered to be caused by metronidazole allergic reactions, rescue work done the next day and then intravenous infusion of the same reaction, it was identified as off Qing Ling allergic reactions