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64 cases of peripheral facial paralysis efficacy of different therapies

07) 24-2133 an O1 syndromes: IG is a broad-spectrum penicillin antibiotic, commonly used in the university hospital, the side effects occurred after a few people use different levels of allergic reactions, including delayed-type hypersensitivity reactions are relatively rare. Penicillin anaphylactic shock occurs, if not save the life-threatening. Therefore, in clinical treatment period to ask to be highly vigilant, to avoid adverse consequences. Case: A patient, because of runny nose, sore throat 5 days, fever, cough 3 days, as early as 8:40 in the hospital outpatient treatment. Readme for patients after cold runny nose, sore throat, serving spiritual virus,abercrombie pas cher, vitamin C is not effective silver fins, three days before the cough, sputum, and fever, body temperature 38. C or so. Outside the hospital went to the doctor to give gentamicin injection, and ribavirin Bupleurum intramuscular injection and oral medication (specifically unknown), and later did not improve. Patients with no previous history of penicillin allergy. Physical examination: body temperature 39. C, pulse 94 beats / min, breathing 23 times / min, blood pressure 135/85millHG, acute fever, sickly, pharyngeal congestion, dual palatine tonsil degree I1. Nodes, lungs dry rales could be heard, no smell and wet rales, abdominal soft limbs were normal. WBC 13.2 × 109 / l, neutrophils 0.80, lymphocytes 0.28, chest X-ray showed acute bronchitis. Diagnosis: acute bronchitis (bacterial), tonsillitis. Treatment: Penicillin skin test was negative, given 0.9% sodium chloride injection 250ml, plus 8 million penicillin drip,ugg günstig, and the other to give compound aminopyrine 2ml intramuscular injection, and alcohol sponge bath cooling. Allergic reactions: When about 40 minutes after penicillin injection, the patient dizziness, pale skin, body itching, chest tightness, nausea, vomiting, palpitation, shortness of breath. Jicha: body temperature 39. C, pulse 129 beats / min, blood pressure 70/40 coffee HG, apathy, people sweat dripping, body skin flushing. With the diagnosis of anaphylactic shock (delayed penicillin), penicillin replaced immediately into a 5% glucose 500 ml dexamethasone 20 mg, 40 mg of polyamines, subcutaneous injection of 0.1% of renal prostaglandin Bu 1 mg intramuscular different oxaprozin 25 mg, and oxygen, semi-recumbent position (head at the end of high enough). About 30 minutes after the patients described symptoms, 45 minutes after the symptoms disappear. Patients pull through. Penicillin drug allergies are generally divided into rapid onset and delayed-type two. Hair 50% response rate in treatment within 5 minutes was lightning-like reaction. Delayed response accounted for 10%, appeared in the drug 30 minutes later, a small number of patients in the continuous treatment process will appear. Because individual patient factors are different for people with allergies, medication, the more general, the more chance of an allergic reaction. Have allergic disease or frequent contact with people and penicillin preparations are likely allergic to penicillin. Penicillin-induced anaphylaxis due mainly related with the impurities of which, when penicillin solution in the storage polymer produced by the body to penicillin, can quickly result in a combination with protein-specific antibodies,uggs sverige, formation of the penicillin degradation in the body a combination of products and protein antigens. Allergens in the body leading to the corresponding specific antibodies, these antibodies are scheduled to tissue mast cells or white blood cells circulating in the blood so that it was sensitive to the state, when the antigen enters the body when it will again combine with the antibody, to promote cell damage, issue release histamine, serotonin,abercrombie madrid, bradykinin, and other slow-reacting substances. Cause a series of allergic clinical manifestations, if the amount of substance released very people, the body can occur in the short term bronchospasm, hypotension, laryngeal edema, difficulty breathing and other serious reactions. Clinical use of penicillin when existing service is used, because the relative instability of penicillin solution, placing the future in addition to causing reduced potency outside, and prone to all kinds of allergens, so we university hospital-based health workers must pay great attention to the use of penicillin not only asked in detail about patients past history, allergies, family history of allergies,ralph lauren home, but also in strict accordance with operating procedures and do all kinds of emergency preparedness. Even if penicillin allergy test was negative, with Penicillium cable should also have close observation of changes in health care can not be taken lightly, especially to prevent the occurrence of late-onset anaphylaxis to penicillin. No.: R7129820 (repair with :2007-12-4)

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