论文部分内容阅读
患者男,52岁。以服药后出汗、呕吐3小时,意识模糊1小时于1991年11月13日入院。患者患“肺结核”20余年。于入院前1月感右胸活动时疼,咳大量白粘痰,查胸片图示:①陈旧性肺结核;②右肺萎缩。入院当日给雷米封300mg/d,利福平450mg/d口服,患者服药后约半小时出现头晕、心慌,出冷汗、恶心、呕吐、腹泻两次,面色苍白,随即意识不清,追问家属,患者近月余进食少。查体:体温36.8℃,血压12/8kPa,体质消瘦,神志模糊,精神萎糜,眼窝凹陷,面色及口唇苍白,右上肺呼吸音减弱,右下肺呼吸音消失,左肺呼吸运动增强,心脏向右移位,心率90次/分,节律齐,腹部凹陷,肝脾未触
Male patient, 52 years old. To take medicine after sweating, vomiting for 3 hours, confusion for 1 hour on November 13, 1991 admission. Patients suffering from “tuberculosis” more than 20 years. In January before admission right chest pain, cough a lot of white phlegm, check the chest X-ray picture: ① old tuberculosis; ② right atrophy. On the day of admission to Remy sealed 300mg / d, rifampicin 450mg / d orally, the patient medication about half an hour after dizziness, palpitation, a cold sweat, nausea, vomiting, diarrhea twice, pale, then unconsciously asked relatives In recent months, patients eat less. Physical examination: body temperature 36.8 ℃, blood pressure 12 / 8kPa, weight loss, delirium, spiritual wilt, sunken eyes, pale face and lips, lower right lung breath sounds weakened, lower right lung breath sounds disappeared, Shift to the right, heart rate 90 beats / min, rhythm Qi, abdominal depression, liver and spleen not touch