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患者,女性,43岁。主因咳嗽、咳血痰半年,加重伴呼吸困难3个月入院。入院后经胸片、CT、纤支镜检查,诊断:右下肺腺癌伴胸腔积液。经行胸腔闭式引流术,引出血性胸水2000ml,气短症状消失。遂行全身化疗。生理盐水500ml+卡铂300mg静点,氟美松10mg入壶。约10分钟病人出现颜面潮红,刺痒、流泪、口唇麻木,呼吸困难。查:生命体征平稳,双肺呼吸音清,右肺可闻哮鸣音。停止输液,苯海拉明20mg肌注,体息30分钟,症状好
Patient, female, 43 years old. Mainly due to cough, hemoptysis sputum for six months, aggravated with dyspnea 3 months admission. After admission by chest radiography, CT, bronchoscopy, diagnosis: right lower lung adenocarcinoma with pleural effusion. Through the thoracic closed drainage, leading to bloody pleural effusion 2000ml, shortness of breath symptoms disappear. Carry out systemic chemotherapy. Saline 500ml + carboplatin 300mg static point, flumethasone 10mg into the pot. About 10 minutes the patient appeared facial flushing, itching, tearing, lips numbness, breathing difficulties. Check: stable vital signs, lung breath sounds clear, right lung can smell wheeze. Stop infusion, diphenhydramine 20mg intramuscular injection, interest 30 minutes, the symptoms are good