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1临床资料患者,女,78岁,主因“间断心慌、胸闷4年,再发伴咳嗽、恶心、呕吐5天”入住我院心血管内科,诊断为:冠心病;急性冠脉综合征;冠状动脉支架植入术后;心功能不全;低渗性脑水肿。入院第3天,继发肺部感染,给予无创呼吸机辅助通气,先后应用头孢他啶联合阿奇霉素、阿莫西林/克拉维酸钾联合左氧氟沙星抗感染及解痉平喘、祛痰等治疗12 d,患者咳嗽、咳痰明显减轻。但患者出现精神亢奋、谵妄多语、
1 clinical data, female, 78 years old, mainly due to “intermittent palpitation, chest tightness 4 years, recurrent cough, nausea, vomiting 5 days ” admitted to our hospital cardiovascular medicine, diagnosed as: coronary heart disease; acute coronary syndrome ; Coronary artery stent implantation; cardiac insufficiency; hypotonic cerebral edema. On the third day after hospitalization, secondary pulmonary infection was given noninvasive ventilator-assisted ventilation. Ceftazidime, azithromycin, amoxicillin / clavulanate potassium combined with levofloxacin and anti-spasmodic asthma and expectorant were applied for 12 days successively. Patients cough, Phlegm significantly reduced. However, patients with mental hyperactivity, delirious multilingual,