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病例:男性,54岁。因刺激性干咳半年入院。查体:T36.4·P80,R21,BPl8/11kPa。心肺听诊无异常,肝脾肋下未触及。胸片示双肺间质纹理多乱,心电图“大致正常”。血液流变学检查结果高于正常。诊断:间质性肺炎。予以红霉素抗感染,706代血浆、藻酸双酯钠(PSS)抗凝。于入院第5日10点静滴706代血浆至一半时,病人突然出现胸闷与左侧腰疼,继之畏寒,测体温37.8℃。立即减慢输液速度(限每分钟20滴),静脉推注地塞米松5mg,15分钟后症状无改善,体温升至39℃,伴寒战。
Case: Male, 54 years old. Six months due to irritating cough hospitalization. Physical examination: T36.4 · P80, R21, BPl8 / 11kPa. Cardiopulmonary auscultation no abnormalities, liver and spleen ribs did not touch. Chest radiograph showed interstitial interstitial chaos, ECG “roughly normal.” Hemorheological results were higher than normal. Diagnosis: interstitial pneumonia. To erythromycin anti-infection, 706 generations of plasma, sodium alginate (PSS) anticoagulation. At 10:00 on the 5th hospital infusion of 706 generations of plasma to half, the patient suddenly appeared chest tightness and left back pain, followed by chills, measured body temperature 37.8 ℃. Immediately slowed the infusion rate (20 drops per minute), intravenous dexamethasone 5mg, 15 minutes after the symptoms did not improve, body temperature rose to 39 ℃, with chills.