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患者,男,45岁,农民。因咽痛、发热、咳嗽3天于1999年3月21日就诊于本院,按“上感”治疗给予林可霉素1.2克加入5％葡萄糖盐水静脉滴注(患者对青霉素过敏)1次后,两手掌出现散在瘀斑,未引起重视。再次使用林可霉素静滴后,患者感头晕、眼花、出汗、四肢发凉、口唇发绀。查体:呼吸28次/分,脉搏120次/分,血压10/0kPa。神志淡漠,面色苍白,四肢湿冷,颈软,心律齐。确诊为过敏性休克。入院后立即给予吸氧、抗过敏、抗休克治疗后血压升为11/8kPa。急查尿常规:潜血(卅),蛋白(卌)。血尿素氮
Patient, male, 45 years old, farmer. Due to sore throat, fever, cough for 3 days in March 21, 1999 in our hospital, according to the “sense of” treatment given lincomycin 1.2 g with 5% glucose saline intravenous infusion (patients with penicillin allergy) 1 After the two hands appear scattered ecchymosis, did not attract attention. Linqumycin intravenous infusion, the patient feeling dizzy, vertigo, sweating, cold limbs, lips cyanosis. Examination: breathing 28 beats / min, pulse 120 beats / min, blood pressure 10 / 0kPa. Conscious indifference, pale, limbs cold, soft neck, heart rate Qi. Confirmed as anaphylactic shock. Immediately after admission to give oxygen, anti-allergic, anti-shock treatment after blood pressure rose to 11 / 8kPa. Urgent urine inspection routine: occult blood (卅), protein (卌). Blood urea nitrogen