病例 张某,男,36岁,机关干部。因上呼吸道感染干咳一周,某院门诊给予氨茶碱片和氨苄青霉素胶囊,口服各2粒,半小时后,急起气促,呼吸有喘鸣音,烦躁,头晕,中度出汗,走路不稳,扶入我院急诊科。查药:氨茶碱片(安徽省阜阳制药厂,批号:9709231);氨苄青霉素胶囊(湖北省楚天制药厂,批号:9906011),此次病后未服其它药物。既往无哮喘、慢性支气管炎、咽炎、高血压、肾炎、心脏病史,无青霉素过敏史。查体:T,37.6℃;P,32次/分;BP,10.0/7.0Kpa。神志清楚,无三凹征,咽充血(+),扁桃腺正常,喉镜下喉头无水肿,双侧胸廓呼吸运动增强、对称,语颤正常,触诊无皮下气肿征,胸壁无压痛,叩诊正常,满肺有哮鸣音,无干湿性罗音。HR 110次/分,心前区无震颤,心界正常,无杂音,心律齐,第一、二心音稍 Case Zhang, male, 36 years old, cadres. A week due to upper respiratory tract infection due to dry cough, given a hospital out-patient aminophylline tablets and ampicillin capsules, oral 2, half an hour later, the rapid onset of shortness of breath, wheezing breathing, irritability, dizziness, moderate sweating, walking Instability, support our emergency department. Check the drug: aminophylline tablets (Fuyang pharmaceutical factory in Anhui Province, batch number: 9709231); ampicillin capsules (Hubei Chutian Pharmaceutical Factory, batch number: 9906011), the disease is not taking other drugs. No history of asthma, chronic bronchitis, pharyngitis, hypertension, nephritis, history of heart disease, no history of penicillin allergy. Physical examination: T, 37.6 ℃; P, 32 beats / min; BP, 10.0 / 7.0Kpa. Consciousness, no three concave sign, pharyngeal congestion (+), tonsil normal laryngoscope laryngeal edema, bilateral thoracic respiratory movement increased, symmetrical, normal fibrillation, palpation without signs of subcutaneous emphysema, chest wall without tenderness, Percussion normal, lung full of wheeze, no wet and dry rales. HR 110 beats / min, precordial no tremor, normal heart, no noise, heart rate Qi, the first and second heart sound slightly