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本文报告1例因频繁吸入可卡因生物碱而引起的致命性弥漫性肺泡出血。患者,女,36岁,黑人。平素健康,抽烟已10年,每日1包.有滥用可卡因史,入院前2周,每周吸入可卡因2～3次。曾因呼吸困难伴血痰2周,诊断为支气管炎。给予氨苄青霉素口服无效。T:37.6℃,P_2110次/min,R:30次/min,BP:102/68mmHg.肺部闻及湿性罗音.WBC:13 900/mm~3,N:36%,L:28%,E:26%,ESR:34mm/h、尿常规正常。BUN:10mg/dl,血清肌酐0.7mg/dl.
This article reports a fatal diffuse alveolar hemorrhage caused by frequent inhalation of cocaine alkaloids. Patient, female, 36 years old, black. Usually healthy and smoking has been 10 years, 1 package a day. There is a history of abuse of cocaine, 2 weeks before admission, cocaine inhalation weekly 2 or 3 times. Have trouble breathing difficulties with bloody sputum for 2 weeks, diagnosed as bronchitis. Give ampicillin orally ineffective. T: 37.6 ° C, P_2110 beats / min, R: 30 beats / min, BP: 102/68 mmHg. Pulmonary smelling and wet rales .WBC: 13 900 / mm ~ 3, N: 36%, L: 28% E: 26%, ESR: 34mm / h, normal urine. BUN: 10mg / dl, serum creatinine 0.7mg / dl.