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患者女,70岁。因咳嗽、咳痰10天,伴气急8天入院。既往体健,否认癫痫、震颤麻痹、精神病史。家族史及个人史无特殊。查体:体温38.3℃,脉搏96次/分,呼吸32次/分,血压130/70。右下肺叩浊,呼吸音消失,左肺可闻及湿性罗音。余无异常。血常规:白细胞12700/mm~3,中性82％,淋巴18％。血沉50mm/h。胸片示:右侧液气胸。胸穿抽出脓液。临床诊断:右侧脓气胸。在行胸腔闭式引流的同时,静滴大剂量青霉素,即羧苄青霉素8.0/日和青霉素G800万/日。用药第2天,出
Female patient, 70 years old. Due to cough, sputum for 10 days, with acute 8 days admission. Past physical health, deny epilepsy, paralysis paralysis, history of mental illness. Family history and personal history is no special. Physical examination: body temperature 38.3 ℃, pulse 96 beats / min, breathing 32 beats / min, blood pressure 130/70. Right lower lung knock turbidity, breath sounds disappear, left lung can smell and wet rales. I no exception. Blood: white blood cells 12700 / mm ~ 3, 82% neutral, lymphatic 18%. ESR 50mm / h. Chest X-ray showed: right liquid pneumothorax. Breast wear pus out. Clinical diagnosis: right pus pneumothorax. In the line of closed thoracic drainage, intravenous infusion of large doses of penicillin, carbenicillin 8.0 / day and penicillin G800 / day. The second day of medication, out