论文部分内容阅读
患者,女,83岁。1995年10月18日入某院呼吸科,主诉反复咳嗽、咯痰1月余。加重伴发热一天。1月余前患者因受凉,出现轻咳嗽,咯少量白色泡沫痰,无胸痛、哮喘或呼吸困难,曾自服红霉素、必消痰等,病情未明显好转。 入院前一天再次受凉,症状加重,且伴发热38.9℃,摄胸片示两下肺纹理增加,疑为呼吸道感染收入住院。 以往病人有慢性单纯支气管炎、肺气肿,从未发生过哮喘。有冠心病,有时胸前不适,服硝酸甘油可以缓解。有“可疑青霉素过敏”史。
Patient, female, 83 years old. October 18, 1995 into a hospital respiratory department, complained of repeated cough, expectoration more than 1 month. Increased with fever one day. Patients before January due to cold, light cough, a small amount of white foam sputum, no chest pain, asthma or breathing difficulties, had served their own erythromycin, will Phlegm, etc., the disease did not significantly improved. The day before admission again cold, the symptoms worsened, and with fever 38.9 ℃, chest X-ray showed two lungs increased texture, suspected of respiratory tract infection income hospitalization. In the past patients with chronic bronchitis, emphysema, never had asthma. Coronary heart disease, and sometimes chest discomfort, serving nitroglycerin can be alleviated. Have “suspicious penicillin allergy” history.