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1 病例报告 例1:患者,男性,60岁,因反复发作性头晕、胸闷10余年,于98年5月29日入院。查体:T36.8℃,P64次/分,R17次/分,BP23/14.5kPa。神清、颈软、咽无充血、双肺呼吸音清晰、未闻及干湿啰音,心率64次/分、律齐,各瓣膜听诊区未闻及病理性杂音,肝脾肋下未触及。心电图示:完全左束支传导阻滞。入院诊断:①高血压病(Ⅲ期);②冠心病,左束支传导阻滞;③脑供血不足。入院后给予抗凝、扩冠、扩张脑血管治疗,给予疏甲丙脯酸口服,静点血栓通,3天后出现干咳,给予抗炎、止咳治疗效果不佳,考虑疏甲丙脯酸所致,停该药后咳嗽消失。又复口服此药,干咳再次出现。
1 Case Report Example 1: The patient, male, aged 60, was admitted to hospital on May 29, 1998 due to recurrent episodes of dizziness and chest distention for more than 10 years. Physical examination: T36.8 ℃, P64 beats / min, R17 beats / min, BP23 / 14.5kPa. Shen Qing, neck soft, pharyngeal no congestion, lung breath sounds clear, no smell and wet and dry rales, heart rate 64 beats / min, law Qi, the valve auscultation area has not heard of pathological murmur, liver and spleen ribs did not touch . ECG shows: completely left bundle branch block. Admission diagnosis: ① hypertension (Ⅲ); ② coronary heart disease, left bundle branch block; ③ cerebral insufficiency. After admission to give anticoagulant, crown expansion, expansion of cerebrovascular treatment, given oral captopril, intravenous thrombosis, 3 days after the dry cough, given anti-inflammatory, cough treatment ineffective, consider the capillarity caused Cough disappeared after stopping the medicine. Take this medicine again and dry cough appears again.