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患者女性.38岁.一向体健.否认过敏史.因右肘关节酸痛,活动受限1年,我院外科诊为“网球肘”.予2%利多卡因5ml行右肘关节局封,局封后患者即感头晕不适,15分钟后,感胸闷、头晕、畏寒,不能支持.面色苍白,口后指甲轻度紫绀,BP10.5/8kPa,R28次/分,心率112次/分,津齐,两肺背部可闻少量痰鸣音,否认近期有感冒及慢性咳嗽等病史.拟诊:利多卡因局封引起的药物过敏性休克.即予保暖、吸氧,1%肾上腺素0.3ml皮下注射,10%葡萄糖500ml+地塞米松20mg静滴,病人诉胸闷增剧,有憋气样感觉,咳嗽增多.吐少量白色泡沫样痰,呼吸浅快,肺部痰鸣音增多,并可闻少许水泡音,皮肤湿冷、四肢皮肤紫绀呈鱼同样.再予1‰肾上腺素0.9ml.
Patients female .38 years old. Has always been healthy. Denied the history of allergy due to right elbow joint pain, limited mobility for 1 year, our hospital surgical diagnosis of “tennis elbow.” To 2% lidocaine 5ml row of the right elbow joint, After the closure of the bureau, the patient feels dizzy and uncomfortable, 15 minutes later, the feeling of chest tightness, dizziness, chills, can not support pale, nocturnal nail mild cyanosis, BP10.5 / 8kPa, R28 beats / min, heart rate 112 beats / min , Tianjin Qi, both lungs can be heard a small amount of back phlegm back, denied the recent history of a cold and chronic cough, etc. Consultation: Lidocaine seal caused by the drug allergic shock that is warm, oxygen, 1% epinephrine 0.3ml hypodermic injection, 10% glucose 500ml + dexamethasone 20mg intravenous infusion, the patient complained of chest tightness, feeling suffocating, increased cough. Small white spit sputum, shortness of breath, increased lung phlegm, and Smell a little blisters sound, the skin is cold and cold, the skin of the pigmented cyanosis was the same, then 1 ‰ epinephrine 0.9ml.