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患者,男性,65岁,患有哮喘20余年,有多年红霉素类用药史,因哮喘再次发作引发呼吸困难、胸闷、咳喘来我院社区门诊就医。检查患者中度发绀,BP 115／75 mmHg,P 92次／min,R 22次／min,由于患者长期在本门诊输液,医嘱给予安茶碱注射液50 mg加入5％葡萄糖注射液250 ml,ivd。同时给予红霉素0．5 g加入10％葡萄糖注射液500 ml,ivd抗感染。当氨茶碱滴注完毕,改换红霉素后7 min患者突然出现憋喘、呼吸急促、全身重度紫绀现象。考虑为药物所致立即停用该药,给予吸氧、氯苯那敏10 mg im处理。10 min后症
Patients, men, 65 years old, suffering from asthma more than 20 years, for many years history of erythromycin medication, asthma attacks again caused by breathing difficulties, chest tightness, cough to our community clinics. Patients with moderate cyanosis, BP 115/75 mmHg, P 92 times / min, R 22 times / min, due to long-term patient in this outpatient infusion, the doctor ordered the injection of 50 mg of An Theophylline injection of 5% glucose 250 ml, ivd. At the same time to give erythromycin 0.5 g 10% glucose injection 500 ml, ivd anti-infection. When aminophylline instillation is completed, 7 min after the replacement of erythromycin, patients with sudden onset of wheezing, shortness of breath, systemic cyanosis. Consider discontinuing the drug immediately for medication, giving oxygen, chlorpheniramine 10 mg im. 10 min after the disease