论文部分内容阅读
病历摘要周某,男,14岁,学生,X 线片号69,297。咳嗽、气喘、痰多4个月。1980年6月患者在农村搬运发霉稻草后即发生咳喘,以夜间为甚,不能平卧,伴有低热。痰多为白色,有时咳出灰色硬痰及黄痰,无咯血。曾在外院给予青、链、氯霉素肌注,一直未见好转。过去无哮喘发作史。查体:体温38℃,慢性病容,甲床轻度紫绀。两肺可闻及较多哮鸣音,未闻及湿罗音;心脏听诊无异常。化验:白细胞10,500,中性49%,酸性40%,嗜酸细胞绝对计数3,250个。血沉35毫米/小时,血气分析示低氧
Medical record summary Zhou, male, 14 years old, student, X-ray number 69,297. Cough, asthma, sputum and more 4 months. In June 1980, the patient developed cough and whey after handling the moldy straw in rural areas. He became very nocturnal and could not lie down with fever. Phlegm mostly white, sometimes cough gray hard sputum and yellow sputum, no hemoptysis. Had given the green house, chain, chloramphenicol intramuscular injection, has not seen improvement. No history of asthma attacks in the past. Physical examination: body temperature 38 ℃, chronic disease, nail bed mild cyanosis. Two lungs can be heard and more wheeze, no smell and wet rales; no abnormal heart auscultation. Assay: WBC 10,500, Neutral 49%, Acid 40%, Eosinophil count 3,250. ESR 35 mm / h, blood gas analysis showed hypoxia