患者女,54岁,有青霉素过敏史,无食物过敏史。因反复咳嗽1年,加重1月,咯血3d入住我院呼吸科。查体:T 37.4℃,R 20次·min-1,HR 76次·min-1,BP 180/105mmHg。双肺呼吸音粗,未闻及干湿性啰音,心律齐,未及杂音。胸片检查示:支气管炎伴两肺感染。诊断:支气管肺炎、高血压病Ⅱ期,高血压心脏病。给予环丙沙星注射液200mg,静滴bid;葡萄糖氯化钠注射液500ml+酚磺乙胺(止血敏) Female patient, 54 years old, history of penicillin allergy, no history of food allergy. Due to repeated cough for 1 year, increased in January, hemoptysis 3d admitted to our hospital Department of Respiratory. Examination: T 37.4 ℃, R 20 times · min -1, HR 76 times · min -1, BP 180/105 mmHg. Breath sounds coarse lungs, unheard-of wet and dry rales, Qi Qi, no noise. Chest X-ray examination showed: bronchitis with two lung infections. Diagnosis: bronchial pneumonia, hypertension Ⅱ, hypertensive heart disease. Given ciprofloxacin 200mg injection, intravenous bid; glucose sodium chloride injection 500ml + metsulfuron-methyl (hemostatic sensitivity)