论文部分内容阅读
例1 男,28岁,因不明原因反复干咳4d入院。患者45d前曾因咳嗽、发热住院,诊断为急性肺部感染,经予抗生素及止咳药,发热较快消失,咳嗽间断并明显减轻而出院,4d前,因干咳再度加重而入院。查体:双肺呼吸音粗糙,满布哮鸣音,无罗音。胸透未见异常。白细胞总数及其分类正常。给予抗生素及止咳药治疗5d无效。给予氨茶碱每次0.1g,3次/d,息斯敏每次1片,1次/d口服,1周后咳嗽及体征均消失,最后诊断咳型哮喘。
Example 1 male, 28 years old, due to unknown reasons, repeated dry cough 4d admission. 45d ago, the patient was hospitalized for cough and fever and was diagnosed as acute pulmonary infection. Antibiotics and cough medicine were given. The fever disappeared quickly and the cough was intermittent and obviously relieved. Before 4d, the patient was admitted to hospital again due to dry cough. Examination: lungs breathing sound rough, covered with wheeze, no rales. No abnormal chest through. The total number of white blood cells and their normal classification. Given antibiotics and cough medicine 5d invalid. Give aminophylline each time 0.1g, 3 times / d, cefoxitin each 1, 1 times / d orally, 1 week after the cough and signs disappeared, the final diagnosis cough type asthma.