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患者女,72岁。因反复咳、痰、喘3年,心悸、气短10个月,加重3天入院。入院时生命体征正常,两 肺有湿罗音,诊断为慢支并双肺感染,慢性阻塞性肺气肿,肺心病。病人对青霉素类、头孢菌素类、水杨酸类药物及链霉素均过敏。故给予红霉素、氯霉素静点,并予吸氧、止咳、平喘等对症治疗。10天后症状明显缓解。因1周未解大便,腹胀明显,可触及肠内有粪块,应用开塞露未能解出大便,故给予液状石蜡10mL口服,10分钟后开始感咽痒、呼吸困难,且进行性加重,口唇紫绀,心率120次/分,血压7/4.5kPa,全身皮肤瘙痒,两肺布满哮鸣音,考虑为液状石
Female patient, 72 years old. Due to repeated cough, sputum, asthma 3 years, palpitations, shortness of breath 10 months, increased 3 days admission. The vital signs on admission were normal with wet rales in both lungs, diagnosis of chronic bronchitis and double lung infection, chronic obstructive pulmonary emphysema and pulmonary heart disease. Patients with penicillins, cephalosporins, salicylates and streptomycin are allergic. It is given erythromycin, chloramphenicol static point, and to oxygen, cough, asthma and other symptomatic treatment. 10 days after the symptoms were relieved. Due to 1 week unsolved stool, abdominal distension significantly, palpable intestine with fecal block, application of cassia gel failed to solve the stool, it was given oral liquid paraffin 10mL, 10 minutes after the onset of sense of itching, difficulty breathing, and progressive increase , Cyanotic lips, heart rate 120 beats / min, blood pressure 7 / 4.5kPa, systemic skin itching, lungs covered with wheeze, consider the liquid stone