论文部分内容阅读
例1 男,42岁。因上呼吸道感染、发热,体温38℃,在其家中给予10%葡萄糖液500ml静滴,未加任何药物。20分钟后出现不适,寒战,停止输液数分钟后症状很快消失,即又将原液体输上。约15分钟后出现强烈输液反应,寒战、发热、胸闷、气急等,立即停止输液并拔除输液管。但病人病情仍迅速恶化,体温达41.5℃,并很快出现发绀,休克,昏迷,心跳呼吸相继停止。抢救2小时后心跳呼吸曾有所恢复,但终因脑水肿而于3天后死亡。经检查所输葡萄糖液体内有多团絮状混浊物。
Example 1 male, 42 years old. Due to upper respiratory tract infection, fever, body temperature 38 ℃, give 500ml intravenous infusion of 10% glucose solution in their home, without any drugs. 20 minutes after the discomfort, chills, stop infusion a few minutes after the symptoms disappear quickly, that is, the original liquid on the lose. About 15 minutes after a strong infusion reaction, chills, fever, chest tightness, shortness of breath, etc., immediately stop infusion and unplug the infusion tube. However, the patient’s condition is still deteriorating rapidly, body temperature reached 41.5 ℃, and soon appeared cyanosis, shock, coma, heartbeat have stopped. Heartbeat resumed after 2 hours of rescue, but died after 3 days due to cerebral edema. After the inspection of the glucose in the group of flocculent opacity.