1 病历摘要患者,男,67岁。因发热、咳嗽、胸闷2天就诊,查体:T38.2℃,R24次/mln,神志清,颜面潮红,咽部轻度充血,两肺呼吸音粗糙,右肺可闻及少量干湿性罗音,心脏未见明显异常,肝脾未触及,余未见明显异常,诊断:肺内感染。否认有青霉素过敏史,常规青霉素皮试(-),遂给予5％葡萄糖氯化钠溶液250ml内加青霉素640万U静脉滴注,输液过程中, 1 patient summary patient, male, 67 years old. Due to fever, cough, chest tightness 2 days treatment, examination: T38.2 ℃, R24 times / mln, clear mind, facial flushing, pharyngeal mild congestion, rough breathing sounds of both lungs, the right lung can smell a small amount of wet and dry Luoyin, no obvious abnormal heart, liver and spleen not touched, I did not see significant abnormalities, diagnosis: pulmonary infection. Denied a history of penicillin allergy, conventional penicillin skin test (-), then given 5% glucose and sodium chloride solution 250ml plus penicillin 6.4 million U intravenous infusion, infusion process,