论文部分内容阅读
患者,女,47岁。因肺结核服用利福平0.3g,30分钟后即感胸闷气急、面色苍白、恶心、眩晕,于1983年1月19日来院求诊。查体:痛苦病容,呼吸急迫,心率135次,左肺布满湿性罗音及痰鸣音,即给予抗过敏处理,半小时后症状好转回家。次日又出现恶心、呕吐,且渐趋频繁,不能进食,伴尿少、腹胀,于2月22日中午又来复诊,查体发现巩膜可疑黄染,病人烦燥不安,腹部膨隆,下午起病情急剧变化,意识逐渐不清,血压迅速下降,经抢救无效而死亡。患者一月前
Patient, female, 47 years old. Pulmonary tuberculosis taking rifampicin 0.3g, 30 minutes after feeling chest tightness, shortness of breath, pale, nausea, dizziness, in January 19, 1983 to hospital for treatment. Physical examination: painful illness, urgency, heart rate 135 times, the left lung is full of wet rales and phlegm, that is given anti-allergic treatment, half an hour later, the symptoms go back home. The next day there nausea, vomiting, and increasingly frequent, can not eat, with less urine, abdominal distension, again at noon on February 22 referral, examination found suspicious yellow sclera, the patient was irritable, bulging belly, afternoon Rapid changes in illness, gradually blurred consciousness, rapid decline in blood pressure, died after rescue ineffective. Patient one month ago