1病例患者男,89岁,因“发热3 d”于2009年8月5日入住本院高干病房。既往有冠心病、心功能Ⅱ级,高血压2级,脑供血不足病史,无青霉素等任何药品不良反应记录,无哮喘病史。入院查体:体温37℃,脉搏73次/分,呼吸18次/min,血压138/64 mm Hg,咽不红,气管居中,胸廓正常,双肺呼吸音增粗, A case of male patient, 89 years old, due to “fever 3 d” on August 5, 2009 admitted to our hospital high dry ward. Previous coronary heart disease, cardiac function grade Ⅱ, hypertension 2, history of cerebral insufficiency, no penicillin and other adverse drug reactions recorded, no history of asthma. Admission examination: body temperature 37 ℃, pulse 73 beats / min, breathing 18 beats / min, blood pressure 138/64 mm Hg, pharynx red, tracheal center, normal thorax, lung breath sounds thickening,