甲型H1N1流感重症肺炎合并急性呼吸窘迫综合征1例

发布时间：2018-04-08 17:40

  本文选题：扶正固脱　切入点：肺呼吸音　出处：《广东医学》2014年20期

【摘要】：正患者,女,63岁,2014年3月27日因鼻塞流涕、咳嗽咯痰5 d入院,述5 d前受凉发热,未予治疗。症见鼻塞流涕、咳嗽,咯褐色痰,双肺呼吸音粗,既往冠心病病史。辅助检查各生化指标正常,考虑急性支气管炎。经治后热退但仍咳嗽咯痰。3月30日突发胸闷气促、呼吸困难、双肺呼吸音粗、见干Up音;考虑急性心力衰竭,予吸氧、导尿;参附针扶正固脱;去乙酰毛花苷丙、呋塞米强心利尿;甲强龙减少气道分泌物;吗啡镇静;雾
[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
【作者单位】： 广州中医药大学第一临床医学院;广州中医药大学第三临床医学院;广东省佛山市中医院三水医院内二科;
【分类号】：R563
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本文编号：1722648