论文部分内容阅读
高××,女,41岁,干部.1981年4月25日下午就诊.20天前,患者在做榨蚕丝棉袄时,突然感觉咽喉干燥,如棉团堵塞.咳嗽,咳出少量粘痰,并出现呼吸困难,但未注意.经喝开水、休息后症状好转.后缝丝棉袄扣子,上述症状再次出现,但症状较第一次为轻.体检:T36.6℃,P92次/分,R24次/分,BP110/70mmHg。急性病容,半强迫体位,呈呼气性呼吸困难,咽部充血,舌干燥.吸气时有三凹征.两肺语颤减弱,叩诊清音,有明显的哮鸣音.心脏、肝、脾正常,其它部分无异常。既往对溴苯辛、病毒灵、APC有过敏史.2年前曾做丝棉被一次,无不良反应,无慢性气管炎和哮喘史.家族史无特殊记载.讨论:患者2次哮喘发作,均
High × ×, female, 41 years old, cadre .1981 on the afternoon of April 25 treatment .20 days ago, when the patient was doing silk quilts jacket, suddenly felt throat dry, such as cotton bolus clogging cough, cough a small amount of phlegm, And breathing difficulties, but did not pay attention. After drinking boiled water, the symptoms improved after the break. After the seam quilted jacket button, the above symptoms appear again, but the symptoms are lighter than the first physical examination: T36.6 ℃, P92 / R24 beats / min, BP110 / 70mmHg. Acute disease, half forced position, was exhaled breathing difficulties, pharyngeal congestion, dry tongue. Inspiratory there are three concave sign .From the two tremor weakening percussion voiceless, clear wheeze. Heart, liver and spleen normal , Other parts without exception. Past history of bromoxynitrin, Viral Ling, APC has a history of allergies. 2 years ago did a silk quilt, no adverse reactions, no history of chronic bronchitis and asthma. Family history no special records. Discussion: 2 patients with asthma attacks, all