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例1 女,60岁。因慢性咳嗽、咳痰、喘息20余年,加重3天而入院。入院时查T 36.5℃,P 80次/分,R 20次/分,:BP 15/10kPa。唇稍绀,桶状胸,两肺呼吸音粗,可闻及少许粗湿(口罗)音及哮鸣音,心、腹未见异常,能平卧入睡,静息时无喘憋。实验室及其他检查:血常规,WBC 5.0×109/L,N 0.875,L 0.125.RBC3.85×1012/L,HB 127 g/L,PLT 133×109/L;尿常规未见异常;心电图大致正常;胸片示慢性支气管炎并发感染,肺气肿。入院后第一日给予下列两组液体:(1)5％葡萄糖液300 ml+哌拉西
Example 1 Female, 60 years old. Due to chronic cough, sputum, wheezing more than 20 years, increased 3 days and admitted to hospital. Check T 36.5 ℃ admission, P 80 beats / min, R 20 beats / min, BP 15 / 10kPa. Lip slightly cyanosis, barrel chest, lungs breath sounds coarse, can be heard and a little rough (wet mouth) sound and wheeze, heart, abdomen without exception, can lie down to sleep, rest without wheezing. Laboratory and other tests: blood routine, WBC 5.0 × 109 / L, N 0.875, L 0.125.RBC3.85 × 1012 / L, HB 127 g / L, PLT 133 × 109 / L; no abnormal urine; ECG Roughly normal; chest X-ray showed chronic bronchitis complicated by infection, emphysema. On the first day after admission, the following two groups of fluids were given: (1) 5% dextrose solution 300 ml + piperacillin