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患者男性,58岁,因咳痰甘余年,加剧喘息2周,于1999年12月21日入院。查体:T38.4℃,R22次/分,P88次/分,BP140/90mmHg;双肺呼吸音粗,双下肺可闻及少许干性罗音,以右下肺为剧,实验室检查:血红蛋白138g/L,白细胞8.6×10~9/L,N30％、L70％,血小板110×10~9/L胸片示:双肺纹理增粗紊乱,双下肺斑片状模糊阴影,以右下肺明显,肺门阴影增浓,心影大致正常。B超示;肝胆胰脾正常。初步诊断为慢性支气管炎急性发作,小叶性肺炎。予以头孢拉定、丁胺
Male patient, 58 years old, due to sputum Gan years, exacerbated wheezing for 2 weeks, on December 21, 1999 admitted. Examination: T38.4 ℃, R22 times / min, P88 beats / min, BP140 / 90mmHg; breath sounds coarse lungs, double lungs can smell a little and dry rales to the right lower lung for the drama, laboratory tests : Hemoglobin 138g / L, white blood cells 8.6 × 10 ~ 9 / L, N30%, L70%, platelet 110 × 10 ~ 9 / L chest X-ray showed thickening disorder of lungs, Right lower lung significantly, hilar shadow thickening, heart shadow roughly normal. B ultrasound; hepatobiliary pancreatic normal. The initial diagnosis of acute exacerbation of chronic bronchitis, lobular pneumonia. To cephradine, butylamine