1 案例某男,39岁,教师,因寒颤、高热至校医务室就诊,诊断为上呼吸道感染,予洁霉素1.8g、丁胺卡那霉素0.6g分别配制静脉滴注,输第一瓶洁霉素时,患者无不适,正常交谈和饮水等,当换上第二瓶丁胺卡那霉素滴入约两分钟,该患者突然发生呼吸困难,颜面、口唇发绀,抽搐,心音听不清,血压测不出,立即停止输液,使用呼吸兴奋剂、肾上腺素等抢救无 A case of a male, 39 years old, teacher, due to chills, fever to the school clinic, diagnosis of upper respiratory tract infection to lincomycin 1.8g, amikacin 0.6g were prepared intravenous drip, lose the first Bottle of lincomycin, the patient without discomfort, regular conversation and drinking water, etc., when replaced with a second amikacin infusion for about two minutes, the patient suddenly had difficulty breathing, facial, cyanotic lips, convulsions, heart sounds Unclear, blood pressure can not be measured, immediately stop infusion, use of respiratory stimulants, adrenaline and other rescue no