论文部分内容阅读
病历摘要患者,女性,71岁。于一周前受凉后出现咳嗽、咳痰加重,气喘、纳差,每天进食2两左右,恶心,无呕吐,体温正常。服红霉素,咳平、喘定、板蓝根冲剂等效果不佳。于1987年2月24日上午10时许出现意识不清,下午查血K5.1,Na105,CI67mEq/L,血气分析pH7.27,PCO_2 29.5,PO_2 80.8mmHg,HCO_3-13.3mEq/L,BE—12.1,WBC 18700,N88%。于当晚7时半急诊入院。发病后大小便正常,无腹泻、尿频、尿急、尿痛。未用利尿剂。患者有慢性气管炎史10余年。1986年2月受凉
Patient history, female, 71 years old. A week ago, after a cold cough, sputum aggravate, asthma, anorexia, eating about two or two days, nausea, no vomiting, normal body temperature. Erythromycin, cough flat, asthma, Banlangen granules and other poor results. In the afternoon of February 24, 1987 at 10 am there was a sense of confusion in the afternoon to check blood K5.1, Na105, CI67mEq / L, blood gas analysis pH7.27, PCO_2 29.5, PO_2 80.8mmHg, HCO_3-13.3mEq / L, BE -12.1, WBC 18700, N88%. At 7:30 in the evening emergency admission. After the onset of normal urine, no diarrhea, frequent urination, urgency, dysuria. Unused diuretics. Patients have a history of chronic bronchitis more than 10 years. February 1986 was cold