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患者,男,65岁,因间断咳喘10余年加重一周来院就诊.体检;神志清楚,唇甲微发绀,双肺叩诊均为过清音,双肺呼吸音粗糙,两肺均可闻及散在哮鸣音,右肺可闻及小水泡音,HR92/min律齐,心音有力,腹软,肝脾未触及,双下肢无水肿.理化检查:血常规白细胞计数为13.8×10℃/L,中性粒细胞85%,淋巴细胞占14%,单核细胞占l%,胸部X光片提示:慢性支气管炎、肿气肿、右下肺炎.随即入院治疗,给予环丙沙星200mg静滴,bid(江苏晨牌药业有限公司出品,苏卫准字1993第391202).当输完200mg后患者自觉输液侧的第2～5掌指关节疼痛,局部皮肤发红并于关节周围及
Patients, male, 65 years old, due to intermittent cough more than 10 years to increase the hospital for a week. Physical examination; conscious, lip cyanosis, lung percussion are too clear voice, lungs sound rough breathing, both lungs can smell scattered in the asthma The sound of the right lung can be heard and a small blisters sound, HR92 / min Law Qi, heart sound powerful, abdomen soft, liver and spleen not touched, no edema of both lower extremities Physical and chemical examination: blood routine white blood cell count was 13.8 × 10 ℃ / L, medium 85% of granulocytes, lymphocytes accounted for 14%, monocytes accounted for l%, chest X-ray tips: chronic bronchitis, emphysema, right lower pneumonia .After admission treatment, giving ciprofloxacin 200mg intravenous infusion, bid (Jiangsu Chen licensing Pharmaceutical Co., Ltd., Su Wei Zhunzi 1993 No. 391202) .When the end of 200mg after the patient conscious infusion side of the second metacarpophalangeal joint pain, local skin redness and around the joints and