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例1,男,43a,因喉部疼痛1d 求诊。体检:T37.8℃、咽喉部粘膜充血水肿明显,诊断为急性咽喉炎。予以盐酸清霉素0.6g 肌注。注药后7min,突然出现面色苍白、呼吸急促、口唇紫疳、胸闷,继之昏迷、小便失禁、脉搏细速、四肢湿冷,测BP5.3/2.4kPa,双肺闻及哮鸣音,心率130次/min,即予以皮下注射0.1%盐酸肾上腺素1ml,肌注非那根25mg,静注地塞米松10mg,并予以氨茶硷0.25g 静推。约5min 后症状缓解,2h 后症状消失,留观1d 无异常出院。例2:男,14a,因咽喉疼痛,吞咽时更甚伴发热1d 求诊。体检:T39.1℃,双
Example 1, male, 43a, due to throat pain 1d consultation. Physical examination: T37.8 ℃, throat mucosal hyperemia edema significantly, the diagnosis of acute pharyngitis. Intramuscular injection of cefomycin 0.6g intramuscularly. 7min after injection, suddenly appeared pale, shortness of breath, aster purple lips, chest tightness, followed by coma, urinary incontinence, pulse speed, cold and limbs, measured BP5.3 / 2.4kPa, lung smell and wheeze, 130 times / min, that is, subcutaneous injection of 0.1% epinephrine hydrochloride 1ml, intramuscular injection of non-root 25mg, intravenous dexamethasone 10mg, and 0.25g intravenous ammonia theophylline. Symptoms were relieved after about 5 minutes, symptoms disappeared after 2 hours, and no abnormalities were observed after discharge for 1 day. Example 2: Male, 14a, due to sore throat, swallowing even more with fever 1d consultation. Physical examination: T39.1 ℃, double