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患者男,23岁。因上腹部疼痛2小时来我院急诊治疗,给予654-210毫克肌注,约10分钟后周身皮肤及咽喉部突然出现瘙痒,随即出现皮损,片刻后出现憋气及呼吸困难。检查:患者烦躁,语言含糊不清,口唇紫绀,全身皮肤见有散在性风团融合成大片,颜色淡红。悬雍垂及咽喉部粘膜广泛水肿。“三凹”症状明显,吸入性呼吸困难Ⅲ度,心率160次/分,律齐。诊断:654-2过敏致急性喉水肿。立即肌注非那根25毫克,静脉注射地塞米松20毫克,静脉快速补
Male patient, 23 years old. Due to upper abdominal pain 2 hours to our hospital emergency treatment, given 654-210 mg intramuscular injection, about 10 minutes after the skin and throat suddenly appeared itching, skin lesions immediately, after a breath and breathlessness and breathlessness. Check: patients irritability, vague language, lips cyanosis, the whole body skin see scattered wind group merged into large, color pink. Uvula and throat mucosal extensive edema. “Three concave” obvious symptoms, inhalation dyspnea Ⅲ degree, heart rate 160 beats / min, law Qi. Diagnosis: 654-2 allergic acute laryngeal edema. Immediate intramuscular injection of non-root 25 mg, intravenous injection of dexamethasone 20 mg, intravenous rapid make up