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1临床资料患者,男,71岁,因“咳嗽,气促6d”入院,既往有慢性支气管炎病史12年。入院时查体:BP120/80mmHg,神志清楚,唇红,呼吸平稳,双肺呼吸音低,闻及散在哮鸣音,右下肺少许湿啰音,HR82bpm,律齐,肝脾未扪及,双下肢不肿。胸片示:双肺纹理增粗、紊乱,Blood-Rt:WBC12.2×109/L,DN84.3%,肝肾功能、血生化指标、心电图均正常。临床诊断:1慢性支气管炎急性发作期;2肺部感染。入院后给予头孢他啶静脉注射2.0bid抗感染,辅以静脉注射盐酸氨溴索、氨茶碱化痰平喘治疗。
1 clinical data of patients, male, 71 years old, because of “cough, shortness of breath 6d ” admission, past history of chronic bronchitis for 12 years. Admission examination: BP120 / 80mmHg, conscious, lip red, smooth breathing, lung breath sounds low, smell and scattered wheezing, right lower lung a little wet rales, HR82bpm, law Qi, liver and spleen not palpable, Double lower extremity is not swollen. Chest radiograph showed thickening and disorder of both lungs, Blood-Rt: WBC12.2 × 109 / L, DN84.3%, liver and kidney function, blood biochemistry index and electrocardiogram were all normal. Clinical diagnosis: 1 acute exacerbation of chronic bronchitis; 2 pulmonary infection. After admission to give ceftazidime intravenously 2.0bid anti-infection, supplemented by intravenous ambroxol hydrochloride, aminophylline phlegm and asthma treatment.