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卓××,男,55岁,工人,住院号 226833,于1982年4月7日入院。患者因两下肢丹毒于入院前一天上午来院急诊。经青霉素皮试阴性后,肌注普鲁卡因青霉素80万u,40分钟后即感头晕、胸闷、四肢麻木,全身出现紫癜样皮疹,以面部及四肢为主。拟诊青霉素过敏。经皮质激素治疗后症状缓解。7小时后尿呈酱油色。次日皮疹全部消退,但出现皮肤及巩膜明显黄染。诊断为青霉素过敏所致免疫性溶血性贫血而入院。患者于3～4年前曾作青霉素皮试,因阳性反应而未用。此外,尚有高血压、冠心病史。
Zhuo × ×, male, 55 years old, worker, hospital number 226,833, was admitted on April 7, 1982. Patients due to two erysipelas on the day before admission to the hospital emergency room. After penicillin skin test negative, intramuscular injection of procaine penicillin 800000 u, 40 minutes after feeling dizzy, chest tightness, limb numbness, body purpura-like rash to the face and limbs dominated. Proposed penicillin allergy. After corticosteroid treatment of symptoms. 7 hours later, urine was soy sauce color. The next day the rash subsided, but the skin and scleral obvious yellow dye. Diagnosis of penicillin allergy caused by immune hemolytic anemia and admission. Patients in 3 to 4 years ago had penicillin skin test, not used because of positive reactions. In addition, there are still high blood pressure, coronary heart disease history.