论文部分内容阅读
我院内科于1987年12月24日至12月28日,收治了同一家族(夫、妻、儿子)流感后金黄色葡萄球菌(以下简称金葡菌)肺炎3例,死亡1例,治愈1例。例一、男、52岁,入院前四天流涕、咽痛、咳嗽,二天前发烧、体温39℃。咳痰带血一天,静滴红霉素无效于12月24日入院,既往健康。查体,T38℃、P75次/分、R20次/分、BP120/80mmHg,神清、无发绀、咽赤,皮肤无出血点,左肺下野有小水泡音,心音钝律整。实验室检查:白细胞6800,中性8O%。胸片示两肺纹理增强。诊治经过:入院后诊为支气管肺炎,给予静滴氟美松,红、氯霉素。次日咳嗽、胸痛加重,咯血
The department of internal medicine from December 24, 1987 to December 28, 1987, admitted to the same family (husband, wife, son) flu after Staphylococcus aureus (hereinafter referred to as Staphylococcus aureus) pneumonia in 3 cases, 1 died, 1 example. Example 1, male, 52 years old, runny nose, sore throat and cough four days before admission, with a fever of 39 ℃ two days ago. One day of sputum bloody, intravenous erythromycin invalid on December 24 admission, past health. Physical examination, T38 ℃, P75 beats / min, R20 beats / min, BP120 / 80mmHg, Shen Qing, no cyanosis, pharynx red, no bleeding skin, left lungs have a small blisters sound, heart blunt integrity. Laboratory tests: white blood cells 6800, neutral 8O%. Chest radiograph showed enhanced lung texture. Diagnosis and treatment after: diagnosed as bronchial pneumonia after admission, given intravenous flumethasone, red, chloramphenicol. Cough the next day, increased chest pain, hemoptysis