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患者女,50岁,因发作性呼吸困难收入院。患者于住院前3天行口腔治疗,~5十内封甲醛甲酚(FC)棉球,十~5玻璃离子充填,当时患者即感胸闷,未予注意,但FC气味与胸闷一直并存。至住院当日下午感胸闷加重,呼吸困难,急诊收入住院。追问患者于40年前曾有呼吸困难、胸闷症状,给予氨茶碱静推治疗后缓解。近2年半因患精神分裂症,服奋乃静,地西泮等药物治疗。体检:T 37℃,P 108次·min~(-1),R 31次·min~(-1),BP110/8OmmHg,痛苦面容,胸部饱满,呼吸运动减弱,两肺叩诊过清音,听诊可闻散在哮鸣音。诊断:过敏性支气管哮喘。给予吸氧,5％葡萄糖注射液250ml+氨茶碱0.25g静滴,qd,0.9％氯化钠注射液250ml+青霉素640万u静滴,qd,甘草片2片po,tid等治疗。症状有所控制。行玻璃离子过敏试验阴性,并于当日行~5十干尸充填治疗,次日症状明显缓解,于第3天痊愈出院。
Female patient, 50 years old, hospitalized for episodic dyspnea. Patients received oral treatment 3 days prior to hospitalization, ~ 5 months sealed with formaldehyde cresol (FC) cotton balls, ten to five glass ions filled, then the patient was feeling chest tightness, no attention, but the smell of FC and chest tightness have coexisted. The afternoon to the hospital feel chest tightness, dyspnea, emergency income hospitalization. Asked about the patient 40 years ago had breathing difficulties, chest tightness symptoms, given intravenous aminophylline therapy relief. Nearly two and a half years suffering from schizophrenia, serving perphenazine, diazepam and other drug treatment. Physical examination: T 37 ℃, P 108 times · min -1, R 31 times · min -1, BP 110/8 OmmHg, painful face, full chest, decreased respiratory activity, Smell scattered in the wheeze. Diagnosis: Allergic bronchial asthma. Give oxygen, 250ml of 5% glucose injection + 0.25g intravenous aminophylline, qd, 0.9% sodium chloride injection 250ml + penicillin 6.4 million u intravenous infusion, qd, licorice tablets 2 po, tid and other treatment. The symptoms are under control. Line glass ion allergy test was negative, and in the same day ~ 5 ten dead corpse filling treatment, symptoms were relieved the next day, discharged on the 3rd day.