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1 病例介绍 患者女,30岁,主因咳嗽,咳痰10d,以“右下肺炎”收住院。查体:T36.5℃,双肺呼吸音粗,右肺底可闻及散在小水泡音,心腹未见异常。胸片示:“右下肺炎”。给予氧哌嗪青霉素4.0g bid静滴,治疗5d,仍有咳嗽、咳痰,症状不见好转,后加用0.2％环丙沙星100ml,bid,静滴,6d后咳嗽,咳痰明显好转,右肺底水泡者消失,住院第13d,体温高达38.3℃,无明显畏寒,无咽痛及胸腹痛,全身皮肤未见皮疹,暂未给予处理,体温37.0℃～38.8℃,偶有咳嗽。
A case description Female patient, 30 years old, mainly due to cough, sputum 10d, “lower right pneumonia” admitted to hospital. Physical examination: T36.5 ℃, breath sounds coarse lungs, the right lung can smell and scattered in a small blisters sound, no abnormal heart. Chest radiograph: “Right lower pneumonia.” Given piperazine penicillin 4.0g bid intravenous infusion of 5d, there are still cough, sputum, the symptoms did not improve, after adding 0.2% ciprofloxacin 100ml, intravenous infusion, 6d after cough, sputum was significantly improved, Right lung empyema disappeared, the hospital 13d, body temperature as high as 38.3 ℃, no obvious chills, no sore throat and chest pain, no skin rash, yet to be treated, body temperature 37.0 ℃ ~ 38.8 ℃, occasionally cough.