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氟哌酸系我国生产的一种新型抗菌药,笔者遇见1例口服引超出血性皮疹并消化道大出血,报告如下。患者张某,男,64岁。因咳嗽、咯脓性痰伴低热5天就诊。半年前患膀胱癌,偶有血尿,平素无消化道溃疡及肝、肾病史。体检:体温37.5℃。脉搏88次,血压21.3/13.3kPa,神志清楚,重度贫血貌,未见皮疹及出血点,浅表淋巴结不大,五官端正,气管居中。右下肺叩诊浊音,可闻及湿性罗音。心率88次,律齐,心尖区Ⅱ级收缩期杂音,肝脾肋下未触及。余无异常体征。胸片右下肺片状阴影。血白细胞9.2×10~9/L,中性90%,淋巴18%,嗜酸性2%,血红蛋白46g/L,红细胞2.70×10~(12)/L。出血时间0.5分,
Norfloic acid is a new type of antibacterial drugs produced in China, I met one case of oral induced hemorrhagic rash and gastrointestinal bleeding, the report is as follows. Patient Zhang, male, 64 years old. Due to cough, purulent phlegm with fever for 5 days treatment. Six months ago suffering from bladder cancer, occasional hematuria, usually without digestive ulcers and history of liver and kidney disease. Physical examination: body temperature 37.5 ℃. Pulse 88, blood pressure 21.3 / 13.3kPa, conscious, severe anemia, no rash and bleeding, superficial lymph nodes, facial features, tracheal center. Right lower lung percussion dullness, can be heard and wet rales. Heart rate 88 times, law Qi, Ⅱ apex systolic murmur, liver and spleen ribs did not touch. I no abnormal signs. Lower right chest radiograph flaky shadows. Blood leukocytes 9.2 × 10 ~ 9 / L, neutral 90%, lymphatic 18%, eosinophilic 2%, hemoglobin 46g / L, red blood cells 2.70 × 10-12 / L. Bleeding time 0.5 points,