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患者,女,16岁,农民。因腹泻,口服痢特灵200毫克,服药后半小时,出现头晕、心慌、胸闷、咽喉部作痒且有阻塞感、恶心等。继之皮肤瘙痒,视物模糊,两腿不能站立行走。于1986年9月8日急来我院。查体:神志恍惚,颜面苍白,呼吸急促,口唇微绀,躁动不安。四肢皮朕冷湿,遍体起荨麻疹。心音低,心律齐,心率108次/分,脉搏不清,血压20/0毫米汞柱(2.7/0 kPa)。立即肌注肾上腺素1毫克,50％葡萄糖液40毫升加地塞米松10毫克静脉推注,静滴葡萄糖盐水,内加阿拉明、多巴胺,20分
Patient, female, 16 years old, farmer. Due to diarrhea, oral furazolidone 200 mg, half an hour after taking medicine, there dizziness, palpitation, chest tightness, itchy throat and a sense of obstruction, nausea and so on. Followed by itchy skin, blurred vision, legs can not stand and walk. In September 8, 1986 emergency came to our hospital. Physical examination: trance, pale face, shortness of breath, lips cyanosis, restless. Limbs cold and wet skin, all over the urticaria. Heart sounds low, heart rate Qi, heart rate 108 beats / min, pulse is not clear, blood pressure 20/0 mm Hg (2.7 / 0 kPa). Immediately intramuscular injection of 1 mg of epinephrine, 40 ml of 50% glucose solution plus dexamethasone 10 mg iv bolus, intravenous glucose dextrose, gelamin, dopamine 20 min