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患者,男,60岁。因反复咳嗽,咯痰,气喘10余年,症状加重并伴下肢浮肿,尿少一周入院。既往无腰痛史。体检:唇、甲中度紫绀、颈静脉怒张,肝颈反流征阳性,双肺中等量湿啰音,散在哮鸣音;心界不大,心率110次/min,律齐,无杂音;腹平软,肝大肋下3cm,质坚Ⅱ°,有轻度压痛;双下肢指压迹((?))。临床诊断:①慢性阻塞性肺气肿并感染;②肺心病急性发作期。给予吸氧、平喘,投用伊米配能-西司他了钠盐(泰能)500 mg加0.9％氯化钠溶液100mL等综合治疗。在静滴伊米配能-西司他丁
Patient, male, 60 years old. Due to repeated coughing, expectoration, asthma more than 10 years, the symptoms aggravated and accompanied by lower extremity edema, less urine a week hospitalization. No history of back pain. Physical examination: lips, a moderate cyanosis, jugular vein engorgement, liver reflux syndrome positive, moderate lung wet rales, scattered wheeze; heart, heart rate 110 beats / min, law Qi, no noise ; Abdomen soft, large ribs under the liver 3cm, quality Jian Ⅱ °, mild tenderness; both lower extremity fingers ((?)). Clinical diagnosis: ① chronic obstructive pulmonary emphysema and infection; ② acute attack of pulmonary heart disease. Given oxygen, asthma, cast with imipenem - cistus sodium (sodium) 500 mg plus 0.9% sodium chloride solution 100mL and other comprehensive treatment. In intravenous infusion of imipenem - cilastatin