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患者,女,68岁,有10年慢性支气管炎史。长期服用氨茶碱,但无静脉用药史。1998年11月3日因慢支急性发作到急诊科诊治。听诊双肺可闻及哮鸣音。立即给予氨茶碱0.25 g加10%葡萄糖250 ml静滴,每分钟15滴。当滴入60 ml时,患者突然出现呼吸困难伴濒死感,咳嗽,咯白色泡沫痰,全身出汗。查体:R 28次/min,P 140次/min,BP 120/75 mmHg。神志清楚,不能平卧,面色苍白,呼吸急促,口唇发绀,双肺布满湿性罗音,心率140次/min,律齐,心音钝,各瓣膜听诊区未闻及杂音,腹平软,肝脾肋下未及。
Patient, female, 68 years old, with 10 years history of chronic bronchitis. Long-term use of aminophylline, but no history of intravenous medication. November 3, 1998 due to acute exacerbation of chronic bronchitis to emergency department diagnosis and treatment. Auscultation lungs can be heard and wheeze. Immediately given aminophylline 0.25 g plus 10% glucose 250 ml intravenous infusion, 15 drops per minute. When 60 ml was instilled, the patient suddenly developed dyspnea with dying feeling, coughing, slightly white foamy sputum and sweaty body. Physical examination: R 28 times / min, P 140 times / min, BP 120/75 mmHg. Conscious mind, can not lie down, pale, shortness of breath, cyanosis lips, lungs covered with wet rales, heart rate 140 beats / min, law Qi, heart sound blunt, the valve auscultation area did not smell and noise, Spleen under the ribs.