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患者女,75岁,主因“间断喘憋30余年,喘憋加重伴意识丧失12h”,于2001年8月1日由急诊入院。 患者间断发作咳嗽,咳痰伴喘憋30余年,每遇冬天发作,持续1~2个月,经抗炎、平喘、祛痰治疗后好转。近5年来发作时有“拉哨音”,未用过激素治疗。入院前1周患者由于“神经性头痛”于4h内自服布洛芬缓释剂(芬必得)5片(1500mg)后,出现喘憋,呼吸困难,随后在0.5h内出现面色苍白,大汗淋漓,继而意识丧失,呼之不应,急送我院急诊,当时呼吸心跳停止,双侧瞳
Female, 75 years old, mainly due to “intermittent wheezing for more than 30 years, wheezing aggravated with loss of consciousness 12h”, on August 1, 2001 by emergency admission. Patients intermittent episodes of cough, sputum with wheezing for more than 30 years, each case of winter attacks, sustained 1 to 2 months after anti-inflammatory, antiasthmatic, expectorant treatment improved. In the past five years when the attack “pull whistle”, not used hormone therapy. One week prior to admission, patients developed “wheezing and breathing difficulties” after 5 hours of taking 5 tablets of fenoprofen (Fenbid) after 4 hours of “neurotic headache” Sweating, and then loss of consciousness, should not call, urgent emergency hospital, when breathing stopped, bilateral pupil