甲型H1N1流感重癥肺炎合并急性呼吸窘迫綜合征1例
發(fā)布時(shí)間:2018-04-08 17:40
本文選題:扶正固脫 切入點(diǎn):肺呼吸音 出處:《廣東醫(yī)學(xué)》2014年20期
【摘要】:正患者,女,63歲,2014年3月27日因鼻塞流涕、咳嗽咯痰5 d入院,述5 d前受涼發(fā)熱,未予治療。癥見(jiàn)鼻塞流涕、咳嗽,咯褐色痰,雙肺呼吸音粗,既往冠心病病史。輔助檢查各生化指標(biāo)正常,考慮急性支氣管炎。經(jīng)治后熱退但仍咳嗽咯痰。3月30日突發(fā)胸悶氣促、呼吸困難、雙肺呼吸音粗、見(jiàn)干Up音;考慮急性心力衰竭,予吸氧、導(dǎo)尿;參附針?lè)稣堂?去乙酰毛花苷丙、呋塞米強(qiáng)心利尿;甲強(qiáng)龍減少氣道分泌物;嗎啡鎮(zhèn)靜;霧
[Abstract]:The patient, 63 years old, was admitted to hospital on March 27, 2014 because of nasal congestion and runny, cough and sputum for 5 days.Nasal obstruction and runny nose, cough, russet sputum, both lungs respiratory sound coarse, past coronary heart disease history.The biochemical indexes were normal and acute bronchitis was considered.After treatment, the fever receded but still coughed sputum. On March 30, sudden chest tightness and shortness of breath, dyspnea, thick breath tone in both lungs, dry up tone were seen; acute heart failure was considered, oxygen inhalation, catheterization, central fixation and deacetylation of acetylpalmatine C, taking into account acute heart failure,Furosemide diuretic; methylenolone reduces airway secretion; morphine sedation; fog
【作者單位】: 廣州中醫(yī)藥大學(xué)第一臨床醫(yī)學(xué)院;廣州中醫(yī)藥大學(xué)第三臨床醫(yī)學(xué)院;廣東省佛山市中醫(yī)院三水醫(yī)院內(nèi)二科;
【分類(lèi)號(hào)】:R563
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本文編號(hào):1722648
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