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经某,女,31岁。因“重症肌无力”要求手术治疗于1986年11月28日入院。患者2年前因肺结核,用异烟肼、乙胺丁醇、利福平治疗一年。当时曾出现头痛、血小板减少。入院时查体未见特殊异常。X线胸片示右肺上野大片状阴影,密度不均。入院诊断:①重症肌无力;②胸腺增生;③陈旧性肺结核。给予强的松15mg,3次/日,新斯的明15mg,5次/日,吡啶斯的明60mg,5次/日。拟行胸腺摘除术,术前服抗痨药。12月2日晨7时入院后首次服利福平450mg,半小后
After some, female, 31 years old. Due to “myasthenia gravis” requires surgical treatment on November 28, 1986 admission. Patient 2 years ago due to tuberculosis, with isoniazid, ethambutol, rifampin treatment for one year. At that time, headache and thrombocytopenia occurred. Physical examination during admission no special abnormalities. X-ray showed a large patch of shadow on the right lung Ueno, uneven density. Admission diagnosis: ① myasthenia gravis; ② thymus hyperplasia; ③ old tuberculosis. Give prednisone 15mg, 3 times / day, neostigmine 15mg, 5 times / day, pyridostigmine 60mg, 5 times / day. Proposed thymus removal, preoperative anti-tuberculosis drugs. At 2 o’clock on the December 2 for the first time after admission admitted to rifampicin 450mg, half a small post