论文部分内容阅读
例1 袁某,女,58岁。间歇性右上腹胀痛不适半年,放射右肩部,吃高脂肪饮食后症状加重,B超检查慢性胆囊炎,于1993年10月8日来我院门诊就诊。一般情况良好。B超复查:胆囊壁粗糙、增厚、未见光团反射,初步诊断慢性胆囊炎。用5%葡萄糖液500ml,加氨苄青霉素3.0静脉滴,口服消炎利胆片3次/日(广州军区长城制药厂湘卫药淮1990—63—002)约半小时后病人突发全身阵发性抽搐,角弓反张,四肢关节僵直,伴咳嗽,喘促气粗,烦躁不安,即在门诊抢救。两肺听诊呼吸音粗糙,呼吸:36次/min,心率:126次/min,考虑
Example 1 Yuan Mou, female, 58 years old. Intermittent right upper quadrant pain discomfort for six months, radiating the right shoulder, eating high-fat diet symptoms worse, B-check chronic cholecystitis, in October 8, 1993 to our hospital clinic. Generally good. B-ultrasound: gallbladder wall rough, thickening, no light group reflex, the initial diagnosis of chronic cholecystitis. With 5% glucose solution 500ml, plus ampicillin 3.0 intravenous drip, oral anti-inflammatory gallbladder tablets 3 times / day (Guangzhou Military Region Great Wall Pharmaceutical Hunan Pharmaceutical Wei Huai 1990-63-002) about half an hour after the patient burst paroxysmal Convulsions, angle arch anti-Zhang, joint stiffness, with cough, wheezing, rough, irritability, that is, in the clinic. Auscultation breath sounds rough lungs, breathing: 36 times / min, heart rate: 126 beats / min, consider