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患者,男,50岁,曾于3年前确诊为肺癌,未给予特殊治疗,两天前患者咳嗽、咳痰加重,伴声嘶来本院门诊就诊。体检:T 36.0℃、P 87次/min、R 20次/min、BP 120/70 mmH g,神清、呼吸平顺、无发绀、咽充血、颈软,双肺呼吸音减弱,可闻及少量湿啰音,CT检查示:考虑左上肺中央型肺癌并肺门、纵膈淋巴结转移,左肺上叶阻塞性肺炎,诊断为肺癌并肺部感染,否认食物、药物过敏史。医生给予头孢曲松(上海罗氏芬制药有限公司,0.5 g/支,批号:SH0333)1.0 g(皮试阴性)加入0.9%氯化钠注射液(开开援生制药有限公司,批号:14070332)100 ml,ivd bid,滴速60滴/min,抗感染治疗,
The patient, male, 50 years old, was diagnosed with lung cancer three years ago. No special treatment was given. Two days ago, the patient coughs and sputum aggravates. Physical examination: T 36.0 ℃, P 87 times / min, R 20 times / min, BP 120/70 mmH g, Shen Qing, smooth breathing, no cyanosis, pharyngeal congestion, neck soft, lung breath sounds weakened, Wet rales, CT examination showed: consider the left upper lung central lung cancer and hilar and mediastinal lymph node metastasis, left upper lobe obstructive pneumonia, diagnosis of lung cancer and lung infection, denied food, drug allergy history. The doctor gave ceftriaxone (Shanghai Rochefen Pharma Co., Ltd., 0.5 g / support, batch number: SH0333) 1.0 g (skin test negative) by adding 0.9% sodium chloride injection (open aid Pharmaceutical Co., batch number: 14070332) 100 ml, ivd bid, drip rate 60 drops / min, anti-infective treatment,