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患者,女,33a。因咳嗽、发热,于93年4月27日就诊,诊断为上呼吸道感染。青霉素皮试(一),用青霉素 G 钠400万单位(石家庄第二制药厂,批号930331),加入10% G S 250ml 中 Bid 静滴2d,d3改qd,d4病人自觉头晕,脚重,泛力,下肢膝上发硬,复诊,体重、肝功能正常,血气分析正常,尿9A 正常,心电图示:窦性心律,ST 段轻度压低,电轴右偏,左右分支阻滞可疑,初步诊断心肌炎,再用青霉素 G 钠400万单位 Bid 静滴,d2全身水肿,下肢膝下手按有凹陷,无力行走,心肌酶谱
Patient, female, 33a. Due to cough, fever, on April 27, 93 treatment, diagnosis of upper respiratory tract infection. Penicillin skin test (a), with penicillin G sodium 4000000 units (Shijiazhuang second pharmaceutical factory, batch number 930331), adding Bid 10% GS 250ml Bid intravenous infusion 2d, d3 change qd, d4 patients with dizziness, foot weight, , Lower extremity knee hard, referral, body weight, normal liver function, blood gas analysis was normal, normal urinary 9A, ECG: sinus rhythm, ST segment mild depression, right axis deviation, left and right branch block suspicious, preliminary diagnosis of myocarditis , And then penicillin G sodium 400 million units Bid intravenous infusion, d2 body edema, lower extremity knees by depression, unable to walk, myocardial enzymes