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病儿,女,13岁,于1964年8月15日我院诊断为脊椎结核(T_(12)～L_2),每周2次椎旁注射链霉素。10月16日复诊,门诊常规操作,以0.5％普鲁卡因2毫升局麻下,距脊柱左5厘米处,用24号针头将一克双氢链霉素(溶于2毫升注射用水)自椎旁注入。十余分钟后,病儿感觉畏寒不适,四肢无力。口唇及四肢末梢发绀,呼吸急促,意识不清。注射0.1％肾上腺素0.3毫升,50％葡萄糖60毫升后未见好转,并出现蹩气现象,即予吸氧,注山梗茶碱及考地松类药物靜脉滴注。2小时后,体溫39.8℃,血压120/75,呼吸呈叹息状,每1～2分钟一次,瞳孔
Sick child, female, 13 years old, in our hospital on August 15, 1964 diagnosis of spinal tuberculosis (T_ (12) ~ L_2), 2 times per week vertebral injection of streptomycin. October 16 referral, outpatient routine operation to 0.5% procaine 2 ml local anesthesia, left 5 cm from the spine, with a 24-gauge needle one gram of dihydrostreptomycin (dissolved in 2 ml of water for injection) From the paravertebral injection. More than ten minutes later, the sick child feels chills and discomforts, and his limbs are weak. Lips and limbs cyanosis, shortness of breath, unconsciousness. Injection 0.1% epinephrine 0.3 ml, 60 ml of 50% glucose did not improve, and the phenomenon of bad gas, that is, to oxygen, note theophylline and catridime tablets intravenous drip. 2 hours later, body temperature 39.8 ℃, blood pressure 120/75, breathing sighs, once every 1 to 2 minutes, pupil