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患者,女,35岁。因“咽痛1 d”于2016年4月26日来我院呼吸内科门诊就诊,自诉1 d前因受凉后出现咽痛,无发热,无咳嗽、咯痰,无头晕、头痛,饮食、睡眠、精神尚可。既往有“频发室性早博”病史,一直服用“酒石酸美托洛尔片”治疗。查体:T 36.8℃,咽部轻度充血,扁桃体I度肿大,听诊两肺呼吸音清,未闻及干湿性啰音,心脏听诊心音不规则,每分钟可闻及早博6~8次。辅助检查:血常规:白细胞8.2×109/L,中性粒细胞绝对值6.7×109/L,中性粒细胞0.808。心电图示:窦性心律,频发室性早博。既往无“青霉素”及其他药物过敏史。
Patient, female, 35 years old. Due to “sore throat 1 d ” on April 26, 2016 to our hospital respiratory medicine clinic, 1 day before the prosecution due to cold sore throat, no fever, no cough, expectoration, no dizziness, headache, diet Sleep, spirit is acceptable. Previously, “frequent ventricular premature beats,” “history, has been taking ” metoprolol tartrate tablets “treatment. Physical examination: T 36.8 ℃, pharyngeal mild congestion, tonsil I degree enlargement, auscultation of lung breath sounds clear, no smell and wet and dry rales, heart auscultation irregular heart sound, every minute can be heard early Bo 6 ~ 8 Times. Auxiliary examination: blood: white blood cells 8.2 × 109 / L, the absolute neutrophil 6.7 × 109 / L, neutrophils 0.808. ECG shows: sinus rhythm, frequent ventricular premature beats. Past no ”penicillin " and other drug allergy history.