患者王文娟,女,58岁,主因咳嗽咳痰10天,震颤2小时急诊入院。10天前受凉后出现发热咳嗽、咳痰、痰为黄色量大。曾在村卫生所以支气管炎治疗,输入青霉素800万~u/日,3天后上述症状减轻,后改为口服利福平,一日1.35g,即9片,持续服药7天,第7天下午突然出现全身震颤,以下颌和四肢为甚,同时伴恶心呕吐、上腹部痛疼。查体BP:17.6/10.0kpa,P101次/分T36.8℃,神志清楚,言语含糊,痛苦病容,心肺无阳性 Wang Wenjuan patients, female, 58 years old, the main cough and sputum for 10 days, tremor 2 hours emergency admission. 10 days ago after the onset of fever cough, sputum, sputum is a large amount of yellow. Once in the village health so bronchitis treatment, penicillin 8000000 ~ u / day, 3 days after the above symptoms reduced, changed to oral rifampicin, 1.35g on the 1st, that is, 9 tablets, continuous medication for 7 days, the afternoon of the 7th Sudden onset of general tremor, with the jaw and limbs is even worse, accompanied by nausea and vomiting, abdominal pain. Physical examination BP: 17.6 / 10.0kpa, P101 times / min T36.8 ℃, conscious, vague, painful, cardiopulmonary no positive