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患者,女,18岁。因鼻塞、流涕1d。在村卫生室诊断为感冒。给予口服无竹牌感冒通(河南省驻马店地区制药厂生产)2片。约1h先感胸闷憋气,渐不省人事,口、鼻溢出大量白色泡沫样痰,急诊来院。体检:T36℃,P80次/min,R20次/min,BP16/11kPa,神志不清,呈浅昏迷状态,面色潮红,无口唇紫绀,鼻孔、口腔可见有大量白色泡沫痰白外喷出,双肺可闻及广泛湿性罗音,心脏正常。诊断肺水肿,即给予吸氧、肌注异丙嗪、静推地塞米松、速尿等治疗,经上述处理后,病情渐好转,5h后恢复正常。 感冒通主要合双氟芬酸、人工牛黄,具有解热镇痛作用。本例致肺水肿系感冒通引起的过敏反应。
Patient, female, 18 years old. Due to nasal congestion, runny nose 1d. In the village clinics diagnosed as a cold. No oral flu given Tong Tong (Henan Zhumadian pharmaceutical production) 2. About 1h first chest tightness, suffocation, gradually unconscionable, mouth, nose, a large number of white foam sputum, emergency room. Physical examination: T36 ℃, P80 times / min, R20 times / min, BP16 / 11kPa, unconsciousness, pale coma, flushing, cyanotic lips, nostrils, oral visible a large number of white foam sputum white spray, Lung can be heard and widespread wet rales, the heart is normal. Diagnosis of pulmonary edema, that is, given oxygen, intramuscular injection of promethazine, intravenous dexamethasone, furosemide and other treatment, the above treatment, the disease gradually improved, returned to normal after 5h. Flu mainly through the two flufenamic acid, artificial bezoar, with anti-inflammatory analgesic effect. This case caused by pulmonary edema Department of allergy caused by influenza.