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患者,女,46岁,农民。因头昏、乏力、心悸伴间断性踝部水肿8月余,咳嗽5d就诊。既住无腹痛、呕吐史。有月经过多史多年。患者精神差,贫血貌,无发热,心界稍向左下扩大,心率105次/min,心尖部可闻Ⅱ0/6柔和的收缩期杂音,无传导。肝、脾无肿大。双下肢(踝部)轻度凹性浮肿。实验室检查;Hb80g/L,RBC 2.8×10~(12)/L,WBC 8.6×10~9/L,N.O.74,L.0.26,BPC 100×10~9L,U-R正常。大便未见寄生虫卵,潜血(一)。肝、肾功能正常。胸片示双肺纹理增粗,左心室向左扩大。B超示子宫前壁及后壁有强光团。诊断:1.缺铁性贫血(中度),贫血性心脏病;2.急性支气管炎;3.子宫肌瘤。于1995年10月11日住院治疗、入院后以青霉素钠(华北制药厂生产)480万u+10％葡萄糖注射液500mL及止血敏2g+5％葡萄糖注射液250mL(皆静滴前配制)分组静滴,另予氨体钙通片每日40mg分两次服,连续6d。患者每于静滴青霉素组后不久即感明显恶心,随即呕吐淡黄色胃液100至400mL,呕吐物中偶有少
Patient, female, 46 years old, farmer. Due to dizziness, fatigue, palpitations with intermittent ankle edema more than 8 months, cough 5d treatment. Both living without abdominal pain, vomiting history. History of menorrhagia for many years. Patients with poor spirit, anemia appearance, no fever, the heart slightly expanded to the lower left heart rate 105 beats / min, the apex can be heard Ⅱ 0/6 gentle systolic murmur, no conduction. Liver, spleen without swelling. Lower extremity (ankle) slightly concave edema. Laboratory tests; Hb80g / L, RBC 2.8 × 10-12 / L, WBC 8.6 × 10-9 / L, N.O.74, L.0.26, BPC 100 × 10 ~ 9L, U-R normal. Stool no parasite eggs, occult blood (a). Liver, kidney function is normal. Chest radiograph showed thickening of the lungs, left ventricular enlargement to the left. B ultrasound shows the uterus and posterior wall of a bright light group. Diagnosis: 1. Iron deficiency anemia (moderate), anemia heart disease; 2. Acute bronchitis; 3. Uterine fibroids. Was hospitalized on October 11, 1995. After admission, patients were treated with penicillin sodium (500,000 + 10% glucose injection 500mg) and 250mg dexamethasone (2g + 5% glucose injection 250mg) Intravenous infusion, the other to the ammonia calcium tablets daily 40mg points twice, for 6 days. Patients for each intravenous penicillin group immediately after that was significantly nausea, then vomit pale yellow gastric juice 100 to 400mL, vomit occasionally less