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患者王某,男,69岁,病案号90351。于1990年3月10日入院。诊断为慢性支气管炎,阻塞性肺气肿,肺部并感染,肺心病。既往无药物过敏史。体温36.4℃,脉博84次/分,呼吸28次/分,血压21.1/12kPa。口唇轻度发绀,四肢苍白发凉,两肺满布哮鸣音及少许小水泡音,双下肢明显水肿。血象:白细胞6.3×10~9/L,中性0.68,血红蛋白150g/L。X线检查,肺野透亮度增加.肺纹理增粗、紊乱。住院经过:用青霉素、氨茶碱、心痛定等药物及低流量鼻导管吸氧治疗12天,咳嗽、喘息等症状缓解,但四肢苍白发凉,下肢水肿未改善。于22日9时给于低右500ml及丹参注射液6ml静脉滴注。5分钟后,患者突感
Patient Wang, male, 69 years old, the case number 90351. March 10, 1990 admission. Diagnosis of chronic bronchitis, obstructive emphysema, lung and infection, pulmonary heart disease. Past history of drug allergy. Body temperature 36.4 ℃, pulse Bo 84 / min, breathing 28 beats / min, blood pressure 21.1 / 12kPa. Mild cyanosis lips, limbs pale cold, lungs covered with wheeze and a little small blisters sound, double edema of both lower extremities. Blood: white blood cells 6.3 × 10 ~ 9 / L, neutral 0.68, hemoglobin 150g / L. X-ray examination, lung field brightness increased lung thickening, disorders. Hospitalized: with penicillin, aminophylline, nifedipine and other drugs and low-flow nasal catheter oxygen therapy for 12 days, cough, wheezing and other symptoms ease, but pale limbs, cold, lower extremity edema did not improve. At 9 o’clock on the 22nd to the right and 500ml Danshen injection 6ml intravenous infusion. After 5 minutes, the patient suddenly felt