论文部分内容阅读
患者,男,19岁,战士,因全身起皮疹、痒难忍一天,于1983年1月14日上午就诊。当时体温37.2℃,血压120/80mmHg,全身皮肤有大小不等风团样皮疹,诊断:急性荨麻疹。肌肉注射盐酸苯海拉明20mg(中国医药工业公司广州第三制药厂,批号:70063-9)约10分钟后,病人感乏力,心悸、胸闷、恶心。血压80/60mmHg,脉搏112次/分,颜面及口唇苍白,病人烦燥不安,全身冷汗,四肢发冷,心音弱,心率112次/分,未闻及杂音,呼吸急促。当即按休克处理,针刺人中、吸氧、升脉散4ml肌肉注射,副肾素0.5mg皮下注射,病情
Patient, male, 19 years old, warrior, rash due to systemic, itchy day, visited the morning of January 14, 1983. At that time, body temperature 37.2 ℃, blood pressure 120 / 80mmHg, the whole body skin size ranging from wind-like rash, diagnosis: acute urticaria. About 10 minutes after intramuscular injection of diphenhydramine hydrochloride 20mg (China Pharmaceutical Industry Corporation Guangzhou No. 3 Pharmaceutical Factory, batch number: 70063-9), the patient became weak, palpitations, chest tightness and nausea. Blood pressure 80 / 60mmHg, pulse 112 beats / min, pale face and lips, the patient irritable, cold sweat, limbs cold, weak heart sounds, heart rate 112 beats / min, no smell and noise, shortness of breath. Immediately by shock treatment, acupuncture, oxygen, Shengmai scattered 4ml intramuscular injection, vice subcutaneous injection of 0.5mg renin, the condition