论文部分内容阅读
1 病例 患者,男,48岁,发热待查入院,体温38.5℃左右。入院后予菌必治等抗感染药物治疗,无明显效果。入院第 8 d予丁胺卡那霉素 0.2g+5％GS 250ml静滴。用药后 2min患者出现寒颤、发热、体温40℃以上,胸腹部及四肢近心端出现红色斑丘疹,并逐渐向周围扩散,患者自觉胸闷、心慌、气促。考虑为丁胺卡那霉素过敏,立即停药,给予吸氧。琥珀氢考 100mg+5％GG 250ml静滴,口服扑尔敏2片,柴胡4ml肌注;冰袋物理降温。半小时后症状缓解,体温开始下降。
A case of patients, male, 48 years old, fever pending admission, body temperature 38.5 ℃ or so. After admission to bacteria and other anti-infective drug treatment, no significant effect. On admission 8 d to amikacin 0.2g + 5% GS 250ml intravenous infusion. Patient 2min after chills, fever, body temperature above 40 ℃, chest and abdomen and limbs near the end of the red rash, and gradually spread to the surrounding patients with chest tightness, palpitation, shortness of breath. Considering allergy to amikacin, stop immediately and give oxygen. Amber hydrogen test 100mg +5% GG 250ml intravenous infusion, oral chlorpheniramine 2 tablets, Bupleurum 4ml intramuscular injection; ice pack physical cooling. Half an hour later, the symptoms started to drop.