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脑垂体后叶素治疗肺出血有一定疗效,临床已广为应用,但较长时期应用引起稀释性低钠血症则属罕见。现报告一例。刘某、女、52岁、1984,12,29,因咯血约200ml而入院,两年前患者受凉后间歇性咳嗽、咯痰,痰量每日约50ml,一月前受凉后又咳嗽、咯痰,轻度发烧,一日前突然咯血,量约200ml,混少许痰液。既往体健。入院时T38℃,查体除左下呼吸音粗糙外均无阳性发现,Hb10g％、BPC6.8万/ml,出凝血时间均为30秒,血清钾、氯化物、尿粪常规、肝功能、血沉、心电图均正常,痰涂片查结核菌(-),胸片两肺纹理增重,左下为著,呈蜂窝样改变,左下内带云絮状阴影,胸膜轻度粘连。临床疑为支气管扩张。除给青霉素、
Pituitrin treatment of pulmonary hemorrhage has a certain effect, the clinical application has been widely, but the long-term use of dilutional hyponatremia is rare. Now report a case. Ryu, female, 52 years old, 1984,12,29, due to about 200ml of hemoptysis and admission, two years ago, patients with intermittent cough after the cold, expectoration, sputum volume of about 50ml a day before a cold and cough, slightly Sputum, mild fever, a sudden hemoptysis one day ago, the amount of about 200ml, mixed with a little sputum. Past physical health. T38 ℃ on admission, physical examination in addition to left lower respiratory sound rough outside were no positive, Hb10g%, BPC68000 / ml, a coagulation time of 30 seconds, serum potassium, chloride, urine stool, liver function, ESR , Electrocardiogram are normal, sputum smear check tuberculosis (-), chest two lungs weight gain, left lower, honeycomb-like changes, the lower left with cloud flocculent shadow, pleural adhesions. Clinical suspicion of bronchiectasis. In addition to penicillin,