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女患,66岁。既往有慢性支气管炎、高血压病史,对青霉素类过敏。因咳嗽加重1周,肺部听诊有散在干湿性罗音,临床诊断为肺部感染,给予静点柱晶白霉素5天,因病情变化不大,1月17日下午做头孢氨噻肟钠皮试(皮试液浓度400μg/L),结果阴性,于是用头孢氮噻肟钠1.0g肌注。注射后约20分钟患者突然感到咽喉紧缩,声音嘶哑,发音困难,憋喘,胸闷,
Female patient, 66 years old. Past chronic bronchitis, history of hypertension, allergy to penicillins. Due to cough increased 1 week, lung auscultation scattered scattered wet and dry rales, clinically diagnosed as pulmonary infection, given intravenous column leucomycin 5 days, due to little change in condition, on the afternoon of January 17 cefotaxime Oxygen sodium skin test (skin test solution concentration of 400μg / L), the result was negative, so cefotaxime sodium 1.0g intramuscular injection. About 20 minutes after injection, the patient suddenly feels throat tightening, hoarseness, dysphonia, wheezing, chest tightness,