论文部分内容阅读
张××,男,36岁,1985年6月27日入院,住院号:21089。85年2月7日无明显诱因而致头痛,以前额为甚,发热,体温达39℃以上,伴纳少,恶心呕吐,不能行走,口干欲饮热水,乏力,寐差,多梦,尿黄,大便4～5天一行。曾经××医院按感冒论治无效,后转××结核病院确诊为“肺TB”,经用利福平、乙胺丁醇、雷米封等治疗,效果不佳,体温一直持续在38～39℃之间。诊断中医:发热,头痛。西医:肺TB,结核性脑膜炎。治疗经过简介: 入院后拟平肝熄风,化痰开窍,通腑泻热为法,方选羚羊角汤化裁。体温不降,大便
Zhang × ×, male, 36 years old, admitted to hospital on June 27, 1985, hospital number: 21089. On February 7, 85 no obvious inducement caused headache, the previous amount was very severe, fever, body temperature above 39 °C, accompanied by Little, nausea and vomiting, can not walk, dry mouth want to drink hot water, fatigue, coma, dreams, urine yellow, bowel movements for 4 to 5 days. Once XX hospital was ineffective in treating the flu and then transferred to XX TB hospital and was diagnosed as “pulmonary TB”. After being treated with rifampicin, ethambutol, and ramexycin, the effect was poor and the body temperature continued to be 38 ~ Between 39°C. Diagnosis of Chinese medicine: fever, headache. Western medicine: Pulmonary TB, tuberculous meningitis. After brief introduction: After admission, it is proposed to calm the liver and extinguish the wind, remove phlegm and phlegm, pass through the diarrhea fever, and then select the antelope horn soup. Body temperature does not fall, stool