论文部分内容阅读
患者,女性,21岁,主因间断性发作呼吸困难、喘息5年,加重10天,于1992年6月16日入院。患者从16岁月经初潮起,每月月经来潮前或/和后均出现哮喘,轻则感气短,全身发冷,轻微咳嗽,自服扑尔敏片或息斯敏片,卧床休息1～2天即可缓解;重则出现哮喘持续状态,须住院治疗。此次月经来潮前8天出现呼吸困难、喘息,伴心悸、咳嗽、咳黄色粘痰。既往体健,无药物、食物和其他接触物过敏史。无家族史。月经史:16(4～6/25～30)1992年6月14日(哮喘发作的第8天)月经来潮。入院查体:呼吸28次/分,两肺布满哮鸣音,两肺底可闻少许湿罗音,心率120次/min,律齐,各瓣膜听诊区未闻病理性杂音。血
Patients, female, 21 years old, mainly due to intermittent episodes of dyspnea, wheezing for 5 years, aggravating 10 days, admitted to hospital on June 16, 1992. Patients from the age of 16 years after menarche, the monthly menstrual cramps before and / or after have asthma, ranging from shortness of breath, chills, mild cough, self-serving chlorpheniramine or astemizine tablets, bed rest 1 to 2 Days can be alleviated; heavy appears asthma continued state, to be hospitalized. 8 days before the menstrual cramps, breathing difficulties, wheezing, palpitations, cough, cough yellow phlegm. Previous physical health, no drugs, food and other contact allergies. No family history. Menstrual history: 16 (4 ~ 6/25 ~ 30) June 14, 1992 (the first 8 days of asthma attacks) menstrual cramps. Admission examination: breathing 28 beats / min, lungs covered with wheeze, two lungs can smell a little wet rales, heart rate 120 beats / min, law Qi, the valve auscultation area is not heard pathological murmur. blood