论文部分内容阅读
例1.患者女,23岁。因痛经口服消炎痛25mg,服药半小时后感头晕、心慌、胸闷、呼吸困难。体查:体温36.8℃,脉搏100次/分,呼吸28次/分,血压17.33/12KPa(130/90mmHg)。烦躁不安,额部皮肤潮湿,口唇无明显紫绀,颈软,两肺均可闻及哮呜音,心率100次/分,律齐,无杂音。否认哮喘病史。诊为消炎痛引起的过敏反应。经吸氧,地塞米松静注及苯海拉明肌注,10余分钟后症状逐渐减轻,40分钟后哮喘停止,肺部呼吸音清。
Example 1. Female patient, 23 years old. Due to dysmenorrhea oral indomethacin 25mg, medication half an hour later dizziness, palpitation, chest tightness, difficulty breathing. Physical examination: body temperature 36.8 ℃, pulse 100 beats / min, breathing 28 beats / min, blood pressure 17.33 / 12KPa (130 / 90mmHg). Irritability, forehead skin moist, no obvious cyanosis lips, neck soft, both lungs can smell and asthma aphonia, heart rate 100 beats / min, law Qi, no noise. Denied the history of asthma. Diagnosis of indomethacin caused by allergic reactions. After oxygen, dexamethasone intravenous and diphenhydramine intramuscular injection, the symptoms gradually reduced after more than 10 minutes, 40 minutes after the asthma stopped, the lungs breath sounds clear.