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女患,39岁。6小时前因疖肿混合肌注青、链霉素后即意识丧失,立即肌注肾上腺素0.7ml,数分钟清醒,感心慌。以往注射青霉素无反应,未用过链霉素。本次青霉素皮试5分钟阴性,链霉素未皮试.查体:T37.2℃,Bp30/50mmHg,神清,左内踝上方见一黄豆大疖肿,心界不大,律不齐,70次/分,无杂音,肺(一)。Hb106g/L,WBC6×10~9/L,中性0.74,淋巴0.24,酸性0.02.ESR16mm/h.血钾3.55mmol/L,入院第2天SGOT26U,LDH<250U,AKP<7.5U,血糖血脂正常。EKG:1987年11月11日入院时:Q-T间期0.39秒,Tv_1>Tv_2,Tv_3～Tv_6倒置。
Female suffering, 39 years old. 6 hours ago due to carbuncle mixed muscle injection of green, streptomycin immediately after the loss of consciousness, immediate intramuscular injection of epinephrine 0.7ml, a few minutes awake, feeling panicked. Past injection of penicillin no response, not used streptomycin. The penicillin skin test for 5 minutes negative, streptomycin skin test.Check test: T37.2 ℃, Bp30 / 50mmHg, God clear, the top of the left medial masturbation see a big soybean swollen, the heart is not big, irregular, 70 beats / min, no noise, lung (a). Hb106g / L, WBC6 × 10 ~ 9 / L, Neutral 0.74, Lymph 0.24, Acid 0.02.ESR16mm / h. Potassium 3.55mmol / L, Day 2 SGOT26U, LDH <250U, AKP < normal. EKG: November 11, 1987 at admission: Q-T interval 0.39 seconds, Tv_1> Tv_2, Tv_3 ~ Tv_6 inversion.