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1 病例资料 例1,女,78岁,因反复咳嗽伴气喘十余年,再发10d入院。查体:P98,R22,BP13.3/8 kPa。诊断:喘息型慢性支气管炎急性发作期。入院当晚滴入氨苄青霉素(氨苄)后哮喘加重,续满第二组液体氨茶碱加氢化可的松后逐渐减轻并缓解。第2d再滴入氨苄时哮喘发作,程度中等,医生认为是患者病情阵发性加重,但滴完第二组液体后逐渐缓解。第3d再滴入氨苄时哮喘突然再发,开始尚能诉说病情,逐渐语言艰难、喉中
1 case data example 1, female, 78 years old, due to repeated cough with asthma more than 10 years, re-issued 10d admission. Physical examination: P98, R22, BP13.3 / 8 kPa. Diagnosis: Asthmatic chronic bronchitis acute attack. On the night of admission, ampicillin (ampicillin) was added and the asthma was aggravated. After the second group of liquid aminophylline hydrocortisone was given, the asthma was gradually relieved and relieved. On the second day, when the ampicillin was further dribbling, the degree of asthma attacked was moderate. The doctor considered the patient’s condition aggravating paroxysm. However, the second group of fluids gradually eased after dripping. The first three days after the sudden drop of ammonia when the recurrence of asthma, the beginning can still tell the disease, and gradually language difficulties, throat