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患者,男性,75岁.因受凉后流涕、咳嗽,咯黄痰2周,伴高热10日于1993年12月21日入院.查体:体温38.6℃;血压17/10kPa,心率88次/min,呼吸20次/min,皮肤无出血点、咽红,双肺叩诊过清音,听诊闻及少量干(口罗)音,肝脾未能扪及.X线:双肺纹理增粗.血象WBC11.0×10~9/L,N:0.79血色素及血小板正常.诊断:急性支气管炎.否认药物过敏史.发病以来曾予以青毒素160万/dim,入院后改为青霉素960万/d 静脉点滴.因疗效欠佳于第3天加服氟嗪酸0.4g/d,且合并用甘草片,氯化氨、茶碱、消心痛,未曾用过解热镇痛药及中成药.体温很快降至正常,咳嗽、咯痰明显减轻,呼吸音略粗,遂于第9日停青霉素继续用氟嗪酸.第6、10日查血象
Patient, male, age 75. Cough, slightly yellow sputum for 2 weeks with fever, admitted to hospital on December 21, 1993. Physical examination: body temperature 38.6 ℃, blood pressure 17 / 10kPa, heart rate 88 beats / min, breathing 20 times / min, skin no bleeding point, throat red, percutaneous clear voice of the lungs, auscultation and a small amount of dry (mouth Luo) sound, liver and spleen failed to palpable .X line: WBC11.0 × 10 ~ 9 / L, N: 0.79 hemoglobin and platelet normal. Diagnosis: acute bronchitis. Denied the history of drug allergies. Since the onset of penicillin was given 1.6 million / dim, admission to penicillin 9.6 million / d vein Drip .Because of poor efficacy on the 3rd day add tolanzafurin 0.4g / d, and the merger with licorice tablets, ammonia chloride, theophylline, heartburn, never used antipyretics and proprietary Chinese medicines. Body temperature is very Quickly dropped to normal, cough, expectoration reduced significantly, breathing tone slightly coarse, then stop penicillin on the 9th day withloxacin .In 6, 10 check the blood