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患者,男,48a,因突发性咽痒,胸闷,咯血,初诊断为支气管扩张咯血,予以止血,抗炎治疗,未见明显好转,后来我院就诊,查体:体温37℃呼吸18次/min,脉博70次/min,血压16/18Kap,肝脾未及,二肾区无叩痛,食欲正常,大、小便无殊,睡眠也可,无肝炎、结核、外伤史。患者自诉胸闷,有间歇性咯血,立即给予0.9%氯化钠500ml 加青霉素钠480万 u及5%葡萄糖氯化钠500ml 加丁胺卡那0.4g,静滴,1次/d,治疗1wk,疗效不明显。改用0.9%氯化钠60ml 加西力欣(西力欣为英国葛兰素集团制造,批号:FEB1992)
Patients, male, 48a, due to sudden throat itching, chest tightness, hemoptysis, initially diagnosed as bronchiectasis hemoptysis, to be hemostatic, anti-inflammatory treatment, no significant improvement, and later our hospital, physical examination: body temperature 37 ℃ breathing 18 times / min, pulse Bo 70 times / min, blood pressure 16 / 18Kap, liver and spleen not time, no percussion pain in the second kidney area, normal appetite, large urine, no special, sleep can be, no history of hepatitis, tuberculosis, trauma. Patient complained of chest tightness, intermittent hemoptysis, immediately given 0.9% sodium chloride 500ml plus penicillin 480000 u and 5% glucose sodium chloride 500ml plus butylamine card 0.4g, intravenous infusion, 1 / d, treatment 1wk, The effect is not obvious. Use 0.9% sodium chloride 60ml 加西力 欣 (Xili Xin British Glaxo Group manufacturing, batch number: FEB1992)