女,70岁,住院号028699。诊断为老年性痴呆于1986年5月21日入院。因进食少,入院后即给予静脉输入5％葡萄糖氯化钠液1000ml,当第二瓶液体输入约50ml时,患者出现寒战,继而高热,体温41℃,即停止输液。同时发现输液瓶内有多块白色絮状物,瓶口下方有一长约6cm裂痕。絮状物涂片找到酵母孢子。在输液、患者血液及中段尿均培养出非白色念珠菌。病后次日血像:白细胞23000～14000,中性多核90～98％,中毒空泡32～5％,中毒颗粒15～2％,肝功能:谷丙转氨酶278赖氏u,发病次日和第3日先后两次胸部照片,两下肺可见斑片状密影,边界模糊不清。病灶日趋明显,范围扩大,结合临床诊断为霉菌性肺炎。两次痰培养无霉菌生长。患者发病20小时出现休克,血压70/50,尿少,经用多巴胺、阿拉明等升压药维持,约40小时后血压恢复正常。发病第3 Female, 70 years old, hospital number 028699. The diagnosis of senile dementia was admitted on May 21, 1986. Because of eating less, after admission to give intravenous infusion of 5% glucose and sodium chloride solution 1000ml, when the second bottle of liquid input about 50ml, patients with chills, then fever, body temperature 41 ℃, stop infusion. At the same time found that the infusion bottle is more than a piece of white floc, bottom of a bottle of about 6cm cracks. Fungus smear to find yeast spores. Non-Candida albicans was cultured in transfusion, patient blood, and middle urine. Sickness the next day the blood like: white blood cells 23000 ~ 14000, 90% neutral nucleus 98% poisoning vacuoles 32 ~ 5%, poisoning particles 15 ~ 2%, liver function: alanine aminotransferase 278 Lai’s u, onset the next day and Chest photos on the 3rd have twice, twice the patchy glimpse visible lungs, the boundaries blurred. Increasingly clear lesions, the scope of expansion, combined with clinical diagnosis of fungal pneumonia. Two sputum culture without mold growth. Patients with onset of shock for 20 hours, blood pressure 70/50, oliguria, with dopamine, Alamin and other vasopressors to maintain about 40 hours after blood pressure returned to normal. Episode 3