1991年5月9日,在米泉县铁厂沟镇天山村第2村民小组,给人群做布鲁氏菌病皮内变态反应试验时出现了过敏性休克1例,现报道如下。 患者马××,男,18岁,回族,学生。于1991年5月9日约20点,接受布鲁氏菌素皮内注射0.1mL,注射后不到1min,自述头晕、眼花,随即软弱无力倒在地上人事不省,同时伴有面色苍白、额出冷汗、四肢发冷。立即将患者放平仰卧,用指甲压迫“人中”穴顷刻间便逐渐苏醒,考虑过敏性休克,立即肌注肾上腺素1mg(从发病到注射约1min)。患者还自述胸闷、心悸,有喉头堵塞感、呼吸困难、口干、脸和四肢麻木,并有恐惧感。体检:脉搏184次/min,呼吸28次/min,神志尚清楚,急性病容,表现烦燥不安,皮肤湿凉,口唇轻度发绀,呼吸急促,手足抽搐,甲床轻度发绀,脉搏细弱而 May 9, 1991, in Miquan County Tiechanggou Tianshan Village villagers group 2, to the crowd to do brucellosis intradermal allergy test occurred in 1 case of anaphylactic shock, are reported below. Patient × ×, male, 18 years old, Hui, students. At about 20 o’clock on May 9, 1991, receiving brucella antibiotic intradermal injection of 0.1mL, less than 1min after injection, readme dizziness, vertigo, then weakness fell to the ground personnel unconscious, accompanied by pale, Amount of cold sweat, cold limbs. Immediately put the patient lying flat supine, with the pressure of nails, “people” hole will gradually wake up, consider anaphylactic shock, immediate intramuscular epinephrine 1mg (from onset to injection about 1min). Patients also reported chest tightness, palpitations, throat blockage, dyspnea, dry mouth, numbness in the face and limbs, and fear. Physical examination: pulse 184 beats / min, breathing 28 beats / min, consciousness is still clear, acute sickness, showing irritability, skin wet and cool, lips mild cyanosis, shortness of breath, hand and foot convulsions, mild cyanosis of the bed, weak pulse