摘要
1例66岁老年男性患者,因咯血、右肺中叶占位行胸腔镜下右肺中下叶切除,纵隔淋巴结清扫术,术后23 d出现高热,考虑术后继发感染,术后26 d加用注射用亚胺培南西司他丁钠抗感染治疗,抗感染治疗第5天后患者体温降至正常,抗感染治疗第8天降阶梯为注射用头孢曲松钠,静脉滴注10 min后,患者自诉憋气,腹胀,剧烈疼痛,由胸部放射到全身,四肢尤甚,自诉肢体远端厥冷,剧痛,无法忍受,血压149/99 mm Hg,心率108次·min-1,立即停用注射用头孢曲松钠,并给予氟比洛芬酯50 mg滴斗入,盐酸哌替啶注射液50 mg,异丙嗪注射液25 mg肌肉注射,30 min后患者自诉缓解,未再诉不适。
A 66-year-old male patient received thoracoscopic resection of the middle and lower lobe of the right lung and mediastinal lymph node dissection because of hemoptysis.He developed high fever 23 days after the surgery and imipenem cilastatin sodium was given to him.5 days later,his temperature was back to normal.On the 8 th day of anti-infection treatment,imipenem cilastatin sodium was stepped down to ceftriaxone sodium for injection.But he developed breathlessness,abdominal distention and severe pain 10 minutes after intravenous drip of ceftriaxone sodium for injection.The pain radiated from the chest to the whole body,especially in the limbs.He also complained of coldness and intolerant pain in the distal end of limbs.The blood pressure was 149/99 mm Hg and the heart rate was 108 beats per minute.Ceftriaxone sodium for injection was discontinued immediately and 50 mg flurbiprofen axetil injection,50 mg pethidine hydrochloride injection and 25 mg promethazine injection were given to him.30 minutes later,the symptoms relieved.And the patient didn’t complain of any uncomfortableness again thereafter.
作者
朱静
孙亚东
ZHU Jing;SUN Ya-dong(Department of Respiratory,Central Hospital of Chengde,Chengde 067000,China)
出处
《中国药物应用与监测》
CAS
2020年第5期353-354,共2页
Chinese Journal of Drug Application and Monitoring
