一男性患者,去昆明出差,一周后出现发烧,自感轻度头痛、鼻塞,到当地医院治疗,先后接受静脉点滴青霉素、红霉素、先锋霉素等,但体温始终不降。为此,患者返回北京,虽然发烧已近2周,可是看上去精神还挺好,食欲无明显减退,经医院全面查体未发现异常。因此,医院考虑患者的发烧可能与使用多种药物有关(病初发烧推测为病毒感染),故暂时停用全部抗生素,进行观察。停药次日,患者体温即恢复正常,第三天出院。 另一患者为老年妇女,也因发烧入院,医生先后考虑肺部感染及泌尿系统感染,并采用了多种抗生素治疗,由于体温不下降,故用药档次越来越高,但体温却仍然居高不下。2周后,主治医生考虑可能存在“药物热”,采取停药观察,结果不出所料,次日体温便恢复正常,此后未再发烧。 上述两个例子,患者均因发烧就医,按惯例,医生先从简单的呼吸道感染、泌尿系统感染等常见病多发病考虑,并 A male patient, went to Kunming on business, after a week after a fever, mild headache, stuffy nose, to the local hospital for treatment, has received intravenous penicillin, erythromycin, cephalosporins, etc., but the body temperature does not drop. To this end, the patient returned to Beijing, although the fever has been nearly 2 weeks, but looks quite good spirit, no significant loss of appetite, the hospital did not find a comprehensive examination of abnormalities. Therefore, the hospital consider the patient’s fever may be related to the use of a variety of drugs (presumed to have a fever of the virus as a viral infection), so the temporary suspension of all antibiotics were observed. The day after the withdrawal, the patient’s temperature returned to normal and was discharged on the third day. The other patient was an elderly woman, also admitted to hospital due to fever. Doctors considered pulmonary infection and urinary tract infections one after another, and adopted a variety of antibiotic treatments. Because the body temperature did not drop, the medication was getting higher and higher, but the body temperature was still high No less Two weeks later, the attending physician considered the possibility of “drug fever” and took withdrawal observations. As a result, the body temperature returned to normal on the following day and no further fever occurred thereafter. In the above two cases, all patients were treated for fever. According to the practice, doctors should first consider the frequent occurrence of common respiratory diseases such as respiratory tract infections and urinary tract infections.