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1病例报告 患者,女,30岁,某兽药厂工人,既往健康,未曾用过青霉素类药物。2000年10月17日兽药厂购进青霉素生产原料,在卸装过程中该患途经此地,顿感胸闷,气短,且面色苍白,呼吸困难,周身不适。于10:30分由同伴送我院抢救。立即将该患者平卧病床,病人呼吸急促,口唇发绀,测BP17.2/12.2kpa,P110次/分,R28次/分,T36.7℃。判定为青霉素过敏后,当即给予0.1％盐酸肾上腺素0.5ml肌注,并持续中流量吸O2遵医嘱给5％葡萄糖300ml+12.5％维生素C5.0g
1 case report Patients, female, 30 years old, a veterinary pharmaceutical factory workers, past health, have never used penicillin drugs. October 17, 2000 veterinary drug factory purchased penicillin production of raw materials, the uninstall process in the affected area here, a sense of chest tightness, shortness of breath, and pale, breathing difficulties, discomfort. At 10:30 by my colleagues sent to our hospital for treatment. Immediately the patient supine beds, patients with shortness of breath, lips cyanosis, measured BP17.2 / 12.2kpa, P110 beats / min, R28 beats / min, T36.7 ℃. After the determination of penicillin allergy, immediately give 0.5% intramuscular injection of 0.1% epinephrine hydrochloride, and continued in the flow of O2 as directed by the doctor to give 5% glucose 300ml + 12.5% vitamin C5.0g