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患者男,30岁,因咽喉痛于1999年6月15日来院耳鼻喉科就诊。查体:T 38℃,会厌红肿,其余未见异常,诊断为“会厌炎”。用青霉素800万U溶入5％葡萄糖注射液中静脉滴注,效果欠佳。改用阿莫西林钠(商品名:益萨林)4克溶入5％葡萄糖注射液中静脉滴注,滴速80滴/min,药物滴注完毕,病人即发生呃逆不止。采取手压有关穴位、分散注意力方式,遂渐缓解。次日继续静滴阿莫西林钠时,呃逆症状复出,而且重于前一天。经用上述方式,症状不见好转,改用针刺内关、天突等穴位方缓解。由于炎症未彻底消除,第3天继续
Male patient, 30 years old, came to the otolaryngology clinic on June 15, 1999 for sore throat. Physical examination: T 38 ℃, epiglottal swelling, the rest without exception, diagnosed as “epiglottitis.” With penicillin 8 million U dissolved in 5% glucose injection intravenous infusion, the effect is not good. Instead of using amoxicillin sodium (trade name: Iksalin) 4 g dissolved in 5% glucose injection intravenous drip, drip rate of 80 drops / min, the drug infusion is completed, the patient that occurs more than hiccups. Take hand pressure on the points, distractions, then gradually ease. The next day to continue infusion of amoxicillin sodium, hiccups symptoms comeback, and heavier than the previous day. With the above method, the symptoms did not improve, switch to acupuncture Neiguan, Tian sudden acupuncture points to ease. Due to the inflammation is not completely eliminated, the first 3 days to continue