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同一病床,先后两例同类病种,由于指导医疗的思维方法的不同,可以导致相反结局:一生一死。这两个病例是我亲自经历的。例1:住院号120262。1975年8月30日因发热、气急、咳嗽10日入院。8月20日起发热,体温38.5℃,咳痰带血伴胸痛,8月26日症状加剧伴气急,用链、氯、庆大霉素并异烟肼治疗反而恶化。过去有“结核”史。体检:体温39.1℃,呼吸36次/分,急病容,呼吸急促,两肺满布干鸣音,左上中肺湿罗音,心率132次/分。入院诊断:支气管肺炎、肺结核。入院后经用各种抗菌素(如青P_12、氯、红、卡那霉素等)抗结核药,始终无效,加用氨茶碱、氢化考的松、洋地黄亦无效。在治疗的25日中,血检嗜酸性白细胞逐渐增高(3→25%→32%),白细胞总数相应增加(15100→21100),肺部阴影始呈散在斑点阴影,后
The same hospital bed, has two cases of similar diseases, due to different ways of thinking of medical guidance, can lead to the opposite outcome: a life-long death. These two cases are my own experience. Example 1: Hospital No. 120262. August 30, 1975 due to fever, shortness of breath, cough on the 10th hospitalization. August 20 fever, body temperature 38.5 ℃, sputum bloody chest pain, August 26 symptoms aggravated with acute gas, with chain, chlorine, gentamicin and isoniazid treatment worsened. In the past there was “tuberculosis” history. Physical examination: body temperature 39.1 ℃, breathing 36 beats / min, acute disease, shortness of breath, lungs covered with dry sounds, the upper left lung wet rales, heart rate 132 beats / min. Admission diagnosis: bronchial pneumonia, tuberculosis. After admission by a variety of antibiotics (such as green P_12, chlorine, red, kanamycin, etc.) anti-TB drugs, always invalid, add aminophylline, hydrocortisone, digitalis is also invalid. In the 25th day of treatment, blood test eosinophils gradually increased (3 → 25% → 32%), the total number of white blood cells increased accordingly (15100 → 21100)