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患者,女,53a。因反复咳喘2a,加重2d 入院。既往有青霉素类、先锋霉素类及白霉素等多种药物过敏史。患者曾多次因“支气管哮喘”发作住院,2d 前因劳累后感冒又出现哮喘,曾用碧桃仙、氨茶碱、博利康尼、喘乐宁及静点白霉素(1.2g/d)2d,均未缓解喘憋症状。理化检查:WBC:7400/mm~3,Hb:16.7g;EC:66个;ESR:10mm/h;血气分析:pH7.458,PCO_2:33.1mmHg,PO_2:61.2mmHg StO_2 92.4%。胸片:肺纹理增强,肺内未见实变。诊断:支气管哮喘合并感染(哮喘持续状态)。入院后,给予5%GS 500ml+
Patient, female, 53a. Due to repeated cough 2a, increased 2d admission. Past history of penicillins, cephalosporins and other white fungal drug allergy history. Patients have repeatedly hospitalized for “bronchial asthma” attack, 2d ago due to fatigue and asthma after asthma, had used Peach, Aminophylline, Boli Kang Ni, Freckine and point of intravenous leukomycin (1.2g / d) 2d, did not relieve wheezing symptoms. Physical and chemical tests: WBC: 7400 / mm ~ 3, Hb: 16.7g; EC: 66; ESR: 10mm / h; blood gas analysis: pH7.458, PCO_2: 33.1mmHg, PO_2: 61.2mmHg StO_2 92.4%. Chest radiograph: Enhanced lung texture, no consolidation in the lungs. Diagnosis: Bronchial asthma with infection (asthma persistence). After admission, give 5% GS 500ml +