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例1:方×,男,55岁。因鼻塞、发热、全身不适于1993年9月10日来院就诊。体检:T37.5℃,R 20次/分、P80次/分,BP15/11kPa。神志清,无发绀,咽部潮红、充血,扁桃体不肿大,两肺呼吸音清,无干湿性罗音,心率80次/分,律齐,心音有力,无心杂音。血常规:Hb110g/L,WBC4.4×10~9/L,N70%,L30%,给感冒通2片,一日三次口服,患者服感冒通2片后,约半小时出现胸闷、心悸、呼气性呼吸困难而再次入院。体检:BP16/12kPa,神志清,口唇不绀,两肺呼气期闻及广泛哮鸣音,心率100次/分,律齐,心音有力,各瓣膜区无杂音。给予喘定/0.25g,地塞米松5mg肌注。胸闷、心悸,呼吸困难逐渐好转,约一小时后两肺哮鸣音完全消失。
Example 1: square ×, male, 55 years old. Due to nasal congestion, fever, general malaise on September 10, 1993 to the hospital. Physical examination: T37.5 ℃, R 20 beats / min, P80 beats / min, BP15 / 11kPa. Consciousness, no cyanosis, pharynx flushing, congestion, tonsil does not enlarge, lung breath sounds clear, no wet and dry rales, heart rate 80 beats / min, law Qi, heart sound powerful, unmotivated murmur. Blood routine: Hb110g / L, WBC4.4 × 10 ~ 9 / L, N70%, L30%, to the flu through two tablets, three times a day orally, the patient served flu through 2, about half an hour after chest tightness, palpitations, Breathing breathing difficulties again hospitalized. Physical examination: BP16 / 12kPa, clear mind, lips cyanosis, both lung expiration period and extensive wheeze, heart rate 100 beats / min, law Qi, powerful heart sounds, the valve area without noise. To give asthma /0.25g, dexamethasone 5mg intramuscular injection. Chest tightness, palpitations, dyspnea gradually improved, about an hour after two lung wheeze disappeared completely.