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患者,女,62岁,体重42kg,因反复发作咳嗽、咳痰、喘息10年,心悸、气短1年,加重7天为主诉入院,入院前社区卫生院给予青霉素静点抗炎(未用过喹诺酮类药物)及口服氨茶碱片治疗,每次0.1g,每日2次,治疗5天症状未缓解。2年前患脑梗塞,已治愈,无吸烟史。查体:T 36.8℃,P 100min-1,R 26min-1,BP 130mmHg/70mmHg,神志清楚,呼吸急促,口唇紫绀,颈静脉怒张,桶状胸,触觉语颤减弱,叩诊过清
Patient, female, 62 years old, weight 42kg, due to recurrent cough, sputum, wheezing for 10 years, heart palpitations, shortness of breath for 1 year, increased 7 days for the main complaint hospitalization, admission to the hospital for penicillin static antifungal (not used Quinolones) and oral aminophylline tablets treatment, each 0.1g, 2 times a day, 5 days treatment did not alleviate the symptoms. 2 years ago suffering from cerebral infarction, has been cured, no history of smoking. Examination: T 36.8 ℃, P 100min-1, R 26min-1, BP 130mmHg / 70mmHg, consciousness, shortness of breath, cyanosis of the lips, jugular vein distention,