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患者女,38岁,因咳嗽、咳痰(白色黏液)3日,至门诊求治。体检:体温36.8℃。心率102次/min,呼吸21次/min,血压130/85mmHg。咽部轻度糜烂充血,少许脓点,甲状腺Ⅰ度肿大,未闻及血管杂音。双肺呼吸音清晰,心率102次/min,律齐,腹部平软无压痛。门诊血常规检查:RBC 4.2×10~9/L,WBC 11.8×10~9/L,HGB 105g/L,PLT 190×10~9/L。自诉患有甲亢2年,间断口服丙基硫氧嘧啶(其门诊病历有记录)。诊断:(1)甲状腺功能亢进症;(2)上呼吸道感染。予以注射用盐酸左氧氟沙星冻干粉针0.2g加入0.9%生理盐水100 mL中静滴。滴至约1/3瓶时,患者出现畏寒、发热,皮肤潮红。立即停药。缓慢静推葡萄糖酸钙注射液10 mg后,静滴5%葡萄糖250 mL加维生素C针2.0 g、地塞米松磷酸钠注射液10 mg,
Female patient, 38 years old, due to cough, sputum (white mucus) 3, to the clinic for treatment. Physical examination: body temperature 36.8 ℃. Heart rate 102 beats / min, breath 21 times / min, blood pressure 130 / 85mmHg. Pharyngeal mild erosion congestion, a little pus point, thyroid Ⅰ degree enlargement, no smell and vascular murmur. Breath sounds clear lungs, heart rate 102 times / min, law Qi, abdominal soft and tender without pain. Outpatient blood tests: RBC 4.2 × 10 ~ 9 / L, WBC 11.8 × 10 ~ 9 / L, HGB 105g / L, PLT 190 × 10 ~ 9 / L. Prostate suffers from hyperthyroidism 2 years, intermittent oral propylthiouracil (outpatient records have records). Diagnosis: (1) hyperthyroidism; (2) upper respiratory tract infection. To be injected with levofloxacin hydrochloride lyophilized powder 0.2g 0.9% saline 100 mL intravenous infusion. Dropped to about 1/3 bottles, the patient chills, fever, skin flushing. Immediate withdrawal. Slowly intravenous injection of calcium gluconate 10 mg, intravenous infusion of 5% glucose 250 mL plus vitamin C needle 2.0 g, dexamethasone sodium phosphate injection 10 mg,