酮咯酸氨丁三醇致过敏性休克

1例26岁男性患者因腹痛给予酮咯酸氨丁三醇30mg肌内注射。注射完毕后约5min，患者感头晕、乏力，并出现全身出汗、晕厥。血压65／40mmHg（1mmHg=0．133kPa），心率108次／min。立即予吸氧、静脉给予肾上腺素、地塞米松、间羟胺及肌内注射异丙嗪等治疗。约30min后，患者神志恢复正常，症状逐渐好转，血压105／75mmHg，心率80次／min。其后未再出现不适。

Anaphylactic shock due to ketorolac tromethamine injection

A male patient aged 26 years received intramuscular infusion of ketorolac tromethamine 30 mg for abdominal pain. About 5 minutes after injection finish, the patient felt dizziness and weakness. Meanwhile, he developed generalised sweating and syncope. His blood pressure was 65/40 mm Hg and heart rate was 108 beats/min. He was immediately given oxygen inhalation, intravenous infusion of epinephrine, dexamethasone, and metaraminol, and intramuscular promethazine. About 30 minutes later, the patient came to his senses and his symptoms gradually improved with a blood pressure of 105/75 mm Hg and a heart rate of 80 beats/min. Thereafter, no discomfort recurred.