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1例60岁男性骨折患者为预防术后深静脉血栓,给予注射用棓丙酯180 mg+0.9%氯化钠注射液250 ml静脉滴注。约10 min后,患者突然出现胸闷、呼吸困难、面色苍白、口唇发绀、肢端发凉。心电监护示心率104次/min,血氧饱和度0.85,血压80/50 mm Hg(1 mm Hg=0.133 kPa)。立即停药并给予抗过敏、扩充血容量治疗及面罩给氧等处理。20 min后,患者过敏症状逐渐好转,血氧饱和度达0.96,血压升至100/58 mm Hg。
One case of 60-year-old man with fractures to prevent postoperative deep venous thrombosis, intravenous injection of propyl gallate 180 mg + 0.9% sodium chloride injection 250 ml. After about 10 minutes, the patient suddenly had chest tightness, difficulty breathing, pale face, blue lips and cold extremities. ECG monitoring showed heart rate 104 beats / min, oxygen saturation 0.85, blood pressure 80/50 mm Hg (1 mm Hg = 0.133 kPa). Immediate withdrawal and given anti-allergy, expansion of blood volume treatment and mask oxygen treatment. After 20 minutes, the patient’s allergic symptoms gradually improved, blood oxygen saturation of 0.96, blood pressure rose to 100/58 mm Hg.