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患者男,28岁,因发热、头痛、头晕、伴咳嗽、周身不适2天,于1998年12月8日来院。既往有安痛定及青霉素、头孢唑啉过敏史。查体:T38℃,P82次/分,R20次/分,BP11/6kPa,意识清楚,语言清晰,面部潮红,双侧瞳孔等大等圆,对光反应灵敏,颈无强直,两肺底有少许湿罗音,心界不大,心率82次/分,心音纯,节律整齐,肝脾未触及,双下肢无浮肿,四肢运动正常,门诊诊断为支气管肺炎。给予0.9%盐水注射液500ml+头孢拉定5.0,一日一次静滴,当静滴至 300ml时,病人主诉阵发性下腹疼痛,于上午9点10分静滴结束,14时病人小便时出现肉眼血尿,尿常规检查:
Male patient, 28 years old, came to hospital on December 8, 1998 due to fever, headache, dizziness, cough, and general discomfort for 2 days. Previous painkillers and penicillin, cefazolin allergy history. Physical examination: T38 ℃, P82 times / min, R20 beats / min, BP11 / 6kPa, clear consciousness, clear language, facial flushing, bilateral pupils and other large round, sensitive to light, neck without rigidity, A little wet rales, the heart is not big, heart rate 82 beats / min, heart sound pure, rhythm and neatness, liver and spleen not touched, no swelling of both lower extremities, extremities normal exercise, outpatient diagnosis of bronchial pneumonia. Given 0.9% saline 500ml + cefradine 5.0, intravenous infusion once a day, when the intravenous infusion to 300ml, the patient complained of paroxysmal abdominal pain, intravenous injection ended at 9:10, 14:00 when the patient showed gross hematuria urine, Urine routine examination: