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细菌性肺炎引起急性横纹肌溶解症很少见,笔者曾接诊2例,现结合文献复习报告如下。 1 病例报告 例1 男,72岁,因头晕、乏力1周,突发寒战、高热1天,外院检查体温40℃,血压60/40mmHg,伴恶心、呕吐,给予头孢哌酮、激素、706代血浆扩容血压不升,在多巴胺、阿拉明维持下,于1999年4月11日转入我院。入院时体温36.5℃,呼吸28次/分,脉搏92次/分,血压80/50mmHg(1mmHg=0.133kPa)。神志清楚,呼吸稍促,四肢发凉,足背动脉搏动好。咽无充血,扁挑体不大。右肺闻及湿性啰
Bacterial pneumonia caused by acute rhabdomyolysis is rare, I have received two cases, are now combined with the literature review report is as follows. 1 case report, male, 72 years old, due to dizziness, fatigue for 1 week, sudden chills, fever for 1 day, the hospital for examination of body temperature 40 ℃, blood pressure 60 / 40mmHg, with nausea and vomiting, given cefoperazone, Blood pressure plasma expansion does not rise, in dopamine, Alamin maintenance, on April 11, 1999 transferred to our hospital. Admission temperature 36.5 ℃, breathing 28 beats / min, pulse 92 beats / min, blood pressure 80 / 50mmHg (1mmHg = 0.133kPa). Consciousness, breathing slightly, cold limbs, good dorsalis pedis artery. Pharyngeal without congestion, flat pick not big body. Right lung smells and wet Hello