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患者,女,57a。青霉素过敏史。因患上呼吸道感染,咳嗽,无其它疾患,在门诊用10%葡萄糖注射液250ml 加硫酸丁胺卡那霉素注射液0.6g,静滴,1次/d,在第四次用药时,当静滴2min 后(约5ml),感鼻腔中有药味,全身不适,即减慢滴速,继之意识丧失,口唇发绀、口吐白沫、牙关紧闭,立即停止输液、查体:神志不清、呼吸浅表3～4次/min,瞳孔等大约0.15cm大小,对光反射消失,两肺呼吸音清,心音听不到,血压为零。经吸氧、静推副肾素、地塞米松、呼吸兴奋剂、人
Patient, female, 57a. Penicillin allergy history. Because of respiratory tract infection, cough, no other illnesses, in the clinic with 10% glucose injection 250ml plus amikacin sulfate injection 0.6g, intravenous infusion, 1 / d, in the fourth medication, when After intravenous infusion 2min (about 5ml), the sense of nasal smell, systemic discomfort, that is, slow down the drip rate, followed by loss of consciousness, lips cyanosis, foaming at the mouth, closed immediately stop infusion, physical examination: Conscious Clear, shallow breathing 3 to 4 times / min, the pupil and other about 0.15cm size, the light reflex disappeared, lung breath sounds clear, heart sounds can not hear, blood pressure is zero. After oxygen, static adrenergic, dexamethasone, respiratory stimulants, people