论文部分内容阅读
1、病例介绍 患者,某男,72岁,患肺部感染入院。体检:T:38℃,R42次/min,P85次//min,一般情况稍差,营养欠佳,身体比较瘦弱,呼吸道无脓性分泌物,两肺闻及湿罗音及哮鸣音,心律齐,腹软,肝肋下1cm,面部,双肢无浮肿,血色素11.5g,尿常规正常。胸片双肺纹理增生模糊,右下肺可见絮状模糊阴影,确诊为支气管肺炎。入院后青霉素400万静滴共5天,因疗效欠佳,改为头孢唑啉钠静滴,2.5g2次/日,用药5天后,基本痊愈,医生考虑病人年老体弱,为增强其身体抵抗力,决定给予17种复合氨基酸注射液250/ml静滴。连用3天,滴速60滴/min,病人第3天出现严重气急、气短、呼吸困难、卧床不起,不思饮食,医治数日无效死亡。
1, case introduction The patient, a male, 72 years old, suffering from pulmonary infection admitted. Physical examination: T: 38 ℃, R42 times / min, P85 times / min, the general situation is slightly poor, poor nutrition, the body is relatively thin, no purulent respiratory secretions, both lungs smell wet rales and wheeze, Qi heart, abdomen soft, liver ribs 1cm, facial, no swelling of both limbs, hemoglobin 11.5g, normal urine. Chest radiograph of lungs hyperplasia blurred, the right lower lung visible flocculus shadow, diagnosed as bronchial pneumonia. Penicillin 4 million intravenous infusion of 5 days, due to poor efficacy, changed to cefazolin sodium intravenous infusion, 2.5g2 times / day, 5 days after treatment, the basic recovery, the doctor considered the elderly frail patients, to enhance their body Resistance, decided to give 17 kinds of compound amino acid injection 250 / ml intravenous infusion. For 3 days, the drip rate 60 drops / min, the patient appeared on the 3rd day of serious shortness of breath, shortness of breath, difficulty breathing, bedridden, do not think diet, cure a few days invalid death.