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1病例报告患者女,84岁。因痰多、发热(体温最高39.3℃)入院。既往有高血压病、冠心病、慢性心功能不全、2型糖尿病、认知障碍、白细胞减少等病史。卧床8年,留置尿管、胃管。气管切开1年,平素不能自主咳痰,依靠吸痰器吸痰。查体:体温38.6℃,呼吸40次/min,血压129/72mmHg。植物状态,两肺未闻及明显干湿性啰音。心率84/min,律齐,各瓣膜听诊区未闻及杂音;
A case report patient female, 84 years old. Due to phlegm, fever (body temperature up to 39.3 ℃) admission. Past history of hypertension, coronary heart disease, chronic heart failure, type 2 diabetes, cognitive disorders, leukopenia and other medical history. Bed for 8 years, indwelling catheter, stomach tube. Tracheotomy for 1 year, usually can not be independent sputum, suction sputum suction. Physical examination: body temperature 38.6 ℃, breathing 40 times / min, blood pressure 129 / 72mmHg. Plant status, both lungs not obvious and wet and dry rales. Heart rate 84 / min, law Qi, the valve auscultation area did not smell and noise;