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患者,男,46岁。于6年前开始患哮喘,时轻时重,无明显诱因,近两年来加重。入院前两日因膝关节疼痛服用保泰松治疗,当第三次服药后的夜间,突然哮喘发作呈持续状态入院。双肺满布哮鸣音及干啰音,心率100次,律齐,无病理杂音。胸透提示:双肺纹理粗、肺气肿。心电图大致正常。化验,血白细泡22,300,中性80%,肝功及尿常规均为正常。诊断:支气管哮喘,哮喘持续状态,并肺部感染,肺气肿。经给予吸氧、氨茶硷、抗生素和激素等药物解痉、止喘、抗感染及对症治疗,上述症状缓解。一周后因患上感头痛,于睡前给予服用索密痛1片,服后20分钟,哮喘又突然发作,病情较前重笃,再次经抢救脱险。两周后因患者又诉头痛服安乃近1片,15分钟后
Patient, male, 46 years old. Six years ago began to suffer from asthma, when light weight, no obvious incentive to increase in the past two years. Two days before admission due to knee pain taking phenylbutazone treatment, when the third night after taking a sudden onset of asthma was admitted to hospital. Wheaten lungs and dry rales, heart rate 100 times, law Qi, no pathological murmur. Chest throat tips: double lungs texture coarse, emphysema. ECG roughly normal. Laboratory tests, blood leukoplakia 22,300, 80% neutral, liver function and urine were normal. Diagnosis: bronchial asthma, asthma persistence, and pulmonary infection, emphysema. After given oxygen, ammonia theophylline, antibiotics and hormones and other drugs antispasmodic, anti-asthma, anti-infective and symptomatic treatment, the above symptoms ease. A week after suffering from a sense of headache, given before going to bed to take Somychong 1, 20 minutes after serving, asthma and sudden attack, the condition is more important, again by rescue rescue. After two weeks because of the patient complained of headache service Annapurna 1, 15 minutes later