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患者女,48岁,医师。因患口腔及舌溃疡病。曾服用过维生素C,疗效不显,于82年3月20日服维生素B_2两片(10mg)半小期后胸部憋闷,气短,鼻塞较前急剧加重,窒息感。既往患沙蒿花粉过敏性毕炎。查体:体温36.2℃,脉搏抹不清,血压60/0mmHg颜面苍白,口唇紫绀,神志不清,四肢冷至肘膝关节处。心率146次/分心音低弱。诊为维生素B_2过敏性休克。给予苯海拉明20mg肌肉注射、付肾1mg皮下注射、50%GS20ml内加地赛米松10mg静推及升压抗休克治疗两小时后神志清、脉搏
Female patient, 48 years old, physician. Suffering from oral and tongue ulcer disease. Had taken vitamin C, curative effect is not significant, on March 20, 82 serving vitamin B_2 two (10mg) half a small chest after feeling oppressed, shortness of breath, nasal congestion worse than before, suffocation. Previously suffering from Artemisia annua pollen allergic Bi Yan. Physical examination: body temperature 36.2 ℃, pulse wipe unclear, blood pressure 60 / 0mmHg pale, cyanotic lips, confusion, limbs cold elbow knee joints. Heart rate 146 beats / min low heart sound. Diagnosis of vitamin B_2 anaphylactic shock. Given diphenhydramine 20mg intramuscular injection, subcutaneous injection of renal 1mg, 50% GS20ml plus intravenous injection of 10mg dexamethasone and antihypertensive antihypertensive treatment after 2 hours of consciousness, pulse