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男患,26岁,因割伤左手肌注青霉素40万~(?),给药半分钟后突然晕倒,感心慌,气急,四肢厥冷,面色青紫,血压0,心率40,当即静注肾上腺素1mg 及氢化可的松300mg,给氧,10分钟后病情缓解,收入住院.既往健康.否认有害物质及药物接触史.查体无异常发现,血压脉搏均正常.给予10%GS1000ml、VitC2.0、ATP20mg、Co—A100~(?)治疗.第8天创口愈合,但感发热、头晕、乏力,牙龈出血,躯干部可见散在的出血点,数次查血常规,全血细胞呈进行性减少.肝功能 SGPT增高,凡登白试验、尿胆原、尿潜血试验、酸溶血试验均阴性,骨髓象增生极度低下.诊断:急性再障.经反复验血、抗生素及强的松治疗,病情逐日
Male, 26 years old, due to a left-sided muscle injury penicillin 400,000 ~ (?), Suddenly fainted half a minute after administration, feeling flustered, shortness of breath, limbs Jueleng, looking bruising, blood pressure 0, heart rate 40, Epinephrine 1mg and hydrocortisone 300mg, oxygen, 10 minutes after the remission, income hospitalization. Past health. Denied the history of exposure to harmful substances and drugs. Physical examination showed no abnormalities, normal blood pressure pulse given 10% GS1000ml, VitC2 .0, ATP20mg, Co-A100 ~ (?) Treatment. On the 8th day, the wound healed, but the sensation of fever, dizziness, fatigue, gingival bleeding, trunk scattered blood spot, several times check blood routine, Reduce liver function SGPT increased, all Deng white test, urobilinogen, urine occult blood test, acid hemolysis test were negative, bone marrow hyperplasia is extremely low. Diagnosis: Acute aplastic anemia After repeated blood tests, antibiotics and prednisone treatment, Condition day by day