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患女,52岁,干部。平素身体健康,无药物过敏史。因头晕肌注维生素B_(12)250μg,约5min后头晕目眩,口周麻木,视物不清,随即意识模糊。血压9/5kPa,予肌注肾上腺素1mg,静注50%葡萄糖40ml后送空军乌鲁木齐医院门诊。查体:意识模糊,体温36℃,脉搏110次/min,呼吸24次/min,血压10/5kPa,全身皮肤散在充血性斑丘疹,以面部为著,心肺无特殊,肝脾不大。肢端发凉紫绀。神经系统正常。心电图:窦性心动过速。诊断:过敏性休克。即予皮下注射肾上腺素0.5mg,静注氟美松10mg,共补液4000ml后血压恢复到13/9kPa,神志清楚,尿量正常,
Women, aged 52, cadres. Normal physical health, no history of drug allergy. Because of dizziness intramuscular injection of vitamin B_ (12) 250μg, about 5min dizziness, perioral numbness, blurred vision, then confusion. Blood pressure 9 / 5kPa, intramuscular injection of epinephrine 1mg, intravenous injection of 50% glucose 40ml sent to the Air Force Urumqi Hospital clinic. Physical examination: Ambiguous, body temperature 36 ℃, pulse 110 beats / min, breathing 24 times / min, blood pressure 10 / 5kPa, the whole body scattered in the congestive rash to the face, no special heart and lung, liver and spleen is not. Extremities cool cyanosis. Nervous system is normal. Electrocardiogram: Sinus tachycardia. Diagnosis: Anaphylactic shock. That is subcutaneous injection of epinephrine 0.5mg, intravenous injection of flumetasone 10mg, a total of 4000ml fluid pressure back to 13 / 9kPa, conscious, normal urine output,