论文部分内容阅读
患者女,65岁。因慢性支气管炎并感染入院。经头孢唑啉钠皮试阴性后,给予生理盐水250ml+头孢唑啉钠3g静滴,响日2次;棕色合剂10ml、桂龙咳喘宁4粒口服,每日3次。首次静滴头孢唑啉钠约1小时,患者感周身乏力,继之出现四肢阵发性小抽搐、恶心,并呕吐胃内容物1次,考虑为输液反应而停止输液,静注氟美松5mg,肌注非那根25mg半小时后症状减轻,1小时后症状消失。次日静滴头孢唑啉钠约1小时后,复现上述症状,停药后1小时症状自行消失。考虑患者对头孢唑啉钠过敏而改用5％葡海糖液500ml+红薄索0.6g+维生素B_60.2g静滴,每日2次;5％葡萄糖液250ml+丁胺卡那霉素0.4g静滴,每日1次。治疗12天,痊愈。
Female patient, 65 years old. Because of chronic bronchitis and infection admitted. After cefazolin sodium skin test negative, given saline 250ml + cefazolin sodium 3g intravenously, ring 2 times; brown mixture 10ml, Guilong Kechuan Ning 4 orally, 3 times a day. For the first time intravenous cefazolin sodium about 1 hour, the patient felt whole body fatigue, followed by paroxysmal convulsions, nausea, vomiting and stomach contents 1, consider the infusion infusion and stop infusion, intravenous dexamethasone 5mg , Intramuscular injection of non-root 25mg half an hour later to relieve symptoms, 1 hour after the symptoms disappear. The next day intravenous cefazolin sodium about 1 hour later, the above symptoms recurrence, 1 hour after stopping the symptoms disappear on their own. Consider the patient allergic to cefazolin sodium instead of 5% glucose solution 500ml + red thin cable 0.6g + vitamin B_60.2g intravenous infusion, 2 times a day; 250ml 5% glucose solution + 0.4g amikacin intravenous infusion , 1 day. Treatment for 12 days, healed.