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患者男,20岁,1975年5月6日入院。住院号17635。患者于1975年5月1日因手部外伤感染服磺胺噻唑及重曹,各1.5克,每六小时一次,次日晚周身皮肤出现大片荨麻疹,甚痒,继服磺胺噻唑。5月4日皮疹更增多,并有阵发性咳嗽,胸闷,呼吸稍促,畏寒,停服磺胺。5日下午咳嗽气促加重,心前区疼痛,不能平卧。无慢性咳嗽、哮喘及过敏史。检查:半卧位,两侧颈部、锁骨上窝部及心前区皮肤扪之有皮下握雪感。两肺哮鸣音以左肺为明显。心前区闻及与心跳一致的“哗剥”音响,于深呼吸时更明显,以听诊器加压胸壁该音响不消失。右手掌中与无名指间创口有少许分泌物,全身皮肤有散在荨麻疹。
Male patient, 20 years old, admitted to hospital on May 6, 1975. Hospital number 17635. Patients on May 1, 1975 because of hand-wound infection with sulfasalazine and heavy Cao, 1.5 grams, once every six hours, the next evening there was a large body skin urticaria, itchy, following sulfamethoxazole. May 4 more rash, and paroxysmal cough, chest tightness, shortness of breath, chills, stop taking sulfonamides. Cough on the 5th afternoon, increased acuity, precordial pain, can not lie down. No chronic cough, asthma and allergies. Check: semi-recumbent position, on both sides of the neck, supraclavicular fossa and anterior skin palpable subcutaneous snow feeling. Two lung wheeze to the left lung as obvious. In front of the heart area and consistent with the heartbeat “flattering” sound, when the deep breathing is more obvious to stethoscope pressure chest wall the sound does not disappear. The right palm and ring finger wound a little secretions, systemic skin scattered urticaria.