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长春新碱所致的药物性肺炎国内尚未见报道,现报告1例如下。患者,男,69岁,入院前4天腹泻,3～4次/日,无脓血及粘液,无腹痛,不发热。服黄连素、乳酶生、维生素C后止泻。起病2天后四肢皮肤出现大量出血点,伴鼻衄。既往无出血史,有青霉素和痢特灵过敏史。体检:T36.7℃,R18次,P86次,BP110/80。皮肤巩膜无黄染,四肢皮肤散在出血点。轻度桶状胸,两肺少许干性罗音。心界不大,心律齐,未闻瓣膜杂音。腹平软,肝脾未触及,腹水征(一)。实验室检
Vincristine-induced drug-induced pneumonia has not been reported in China, the report is as follows. Patients, male, 69 years old, 4 days before admission diarrhea, 3 to 4 times / day, no blood and mucus, no abdominal pain, no fever. Serve berberine, lactase Health, vitamin C after diarrhea. Two days after the onset of limbs, a large number of bleeding spots, accompanied by epistaxis. No past history of bleeding, penicillin and furazolidone allergy history. Physical examination: T36.7 ℃, R18 times, P86 times, BP110 / 80. Skin sclera without yellow dye, limbs scattered in the skin bleeding point. Mild tub-shaped chest, a little dry rales of both lungs. Heart is not big heart rhythm, unheard valve noise. Abdomen soft, liver and spleen not touched, signs of ascites (a). Laboratory test