碘佛醇致迟发型严重低血压1例

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患者,女,77岁,因反复咳嗽、咳痰、气喘10余年,加重3h于2009年12月7日急诊入院。1994行“直肠癌根治术”并化疗3次,2009年3月诊断为2型糖尿病,长期给予“胰岛素、阿卡波糖片、单硝酸异山梨酯缓释片、辛伐他汀片”等治疗,病情相对稳定。入院诊断为慢性阻塞性肺疾病、急性冠脉综合征、急性左心衰竭、2型糖尿病、直肠癌术后。体检:T37℃,R 20次/min,HR 82次/min,BP 134/76 mmHg。12月 Patient, female, 77 years old, due to repeated cough, expectoration, asthma more than 10 years, increased 3h on December 7, 2009 emergency admission. 1994, “radical resection of rectal cancer” and chemotherapy 3 times, in March 2009 diagnosed as type 2 diabetes, long-term administration of “insulin, acarbose tablets, isosorbide mononitrate sustained release tablets, simvastatin tablets ”And other treatment, the condition is relatively stable. Admission was diagnosed as chronic obstructive pulmonary disease, acute coronary syndrome, acute left heart failure, type 2 diabetes, and postoperative rectal cancer. Physical examination: T37 ° C, R 20 times / min, HR 82 beats / min, BP 134/76 mmHg. December
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