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1病例介绍患者,女,35岁,因乏力、心悸20天入院。患者有咳嗽变异性哮喘病史10+年,每于受凉咳嗽时则自行不规律吸入“舒利迭”。入院前20天,患者因受凉后出现剧烈咳嗽、咳痰、头痛、咽痛、流清涕等症状。再次吸入“舒利迭”后上述症状未缓解,且感乏力、心悸。不伴有发热、寒战、胸闷、气短、四肢疼痛等症状。在当地医院就诊,诊断为“上呼吸道感染”收住院治疗。查血钾低于正常(不详),心率最快为119次/分,血压正常。诊断为:1.上呼吸道感染2.病毒性心肌炎3.低钾血症。给予:抗炎、抗病毒、补钾治疗。(具体不详)同时因考虑患者咳嗽为“咳嗽变异性哮喘”所致,故给予“舒利迭50/500,1喷,1天2次”治疗。经上述治疗后患者咳嗽、咳
1 case description The patient, female, 35 years old, due to fatigue, palpitations admitted for 20 days. Patients with cough variant asthma history of 10 + years, every time when the cold cough irregular inhalation “Seretide ”. 20 days before admission, patients with severe cough, sputum, headache, sore throat, runny nose and other symptoms due to cold. After inhalation “Seretide ” after the above symptoms are not alleviated, and the sense of fatigue, palpitations. Not accompanied by fever, chills, chest tightness, shortness of breath, limb pain and other symptoms. In the local hospital for treatment, diagnosed as “upper respiratory tract infection ” received hospital treatment. Check serum potassium lower than normal (unknown), the fastest heart rate of 119 beats / min, normal blood pressure. Diagnosis is: 1. Upper respiratory tract infection 2. Viral myocarditis 3. Hypokalemia. To give: anti-inflammatory, anti-virus, potassium treatment. (Specific unknown) at the same time due to consider the patient cough “cough variant asthma ” caused, it is given “Seretide 50/500, 1 spray, 1 day 2 times ” treatment. After the treatment of patients cough, cough