论文部分内容阅读
患者男,64岁,因发热、头昏10余天于1994年1月11日入院。2月前因咳嗽、咳痰、午后低热在金华市结核病医院住院。胸片示:右上肺结核活动期。予异烟肼、利福平、乙胺丁醇、对氨基水杨酸四联抗痨治疗。治疗前,血Hb145g/L,RBC5×10~(12)/L,WBC6×10~9/L,N0.71,L0.29。1月后,咳嗽咳痰症状减轻出院。出院后继续服上述药治疗。几天前,因头昏、乏力渐明显,发热、咳嗽、气急加剧,再次住金华市结核病医院。血Hb40g/L,RBC1.28×10~(12)/L,WBC2.2×10~9/L,N 0.21,L 0.79,血小板数62×10~9/L,胸片复查:右上肺结核病灶稳定,两侧支气管炎。输血400ml后转入本院。患者既往身体健康,否认有肝炎、血吸虫病病史。
Male patient, aged 64, was admitted to hospital on January 11, 1994 due to fever and dizziness more than 10 days. 2 months ago due to cough, sputum, afternoon fever in Jinhua Tuberculosis Hospital. Chest X-ray showed: right upper pulmonary tuberculosis activity period. To isoniazid, rifampicin, ethambutol, paracetamol anti-tuberculosis treatment. Before treatment, blood Hb145g / L, RBC5 × 10 ~ (12) / L, WBC6 × 10 ~ 9 / L, N0.71, L0.29.1 months later, the symptoms of cough and expectoration reduce discharge. After discharge, continue to take the above drug treatment. A few days ago, dizziness, fatigue gradually became apparent, fever, cough, exacerbations, once again live Jinhua Tuberculosis Hospital. Blood Hb40g / L, RBC1.28 × 10-12 / L, WBC2.2 × 10-9 / L, N 0.21, L 0.79, platelet count 62 × 10 ~ 9 / L, chest X-ray examination: Stable, both sides of bronchitis. Blood transfusion 400ml transferred to the hospital. Past patient’s health, denied a history of hepatitis, schistosomiasis.