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病历摘要患者男,56岁,因咳嗽、气短、胸闷、头痛于1986年10月12日入院。查体:Bp 130/90mmHg,慢性病容,呼吸稍促,神志清晰,语言流利,颜面轻度浮肿,皮肤及粘膜无发绀,无颈静脉怒张,胸廓略呈桶状,两肺散在喘鸣音,右肺底部少许中小水泡音。心界不大,心率110次/分,心音纯,节律整,腹部平软,肝脾无肿大,下胰轻微浮肿。入院后经过治疗,肺部体征消失,但头痛症状不缓解,顽固性失眠,服硝基安啶、芬那露、琥珀安神丸,每天只能睡30分钟左右。于12月25日晚,肌注盐酸异丙嗪25mg,几分钟后自觉心难受、幻
Male patient, aged 56, was admitted to hospital on October 12, 1986 due to cough, shortness of breath, chest tightness and headache. Physical examination: Bp 130 / 90mmHg, chronic disease, breath slightly, clear, fluent language, face mild edema, no cyanosis of the skin and mucous membranes, no jugular vein engorgement, thorax slightly barrel, lungs scattered wheeze , A little middle and small blisters at the bottom of the right lung. Heart, heart rate 110 beats / min, heart sounds pure, rhythm whole, flat belly soft, no swelling of the liver and spleen, mild swelling of the inferior pancreas. After admission, treatment, signs of lung disappeared, but the symptoms of headache do not ease, insomnia, serving nitroprusside, Fenaron, amber Anshen pills, sleep only 30 minutes a day. In the evening of December 25, intramuscular injection of promethazine hydrochloride 25mg, a few minutes after feeling uncomfortable, magic