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1病例资料患者男,58岁,2012年10月8日因反复咳嗽、咳痰伴喘息4年,加重1月入院。无药物过敏史。入院体检:T36.3℃,R 21次/min,P 72次/min,BP 120/85 mmHg。实验室检查:白细胞7.7×10~9·L~(-1);中性粒细胞64%;淋巴细胞19.2%;红细胞4.84×10~(12)·L~(-1);血红蛋白156 g·L~(-1);血小板295×10~9·L~(-1)。入院诊断:慢性阻塞性肺疾病急性加重期(AECOPD);支气管哮喘急性发作。给予吸氧、吸入用复方异丙托溴铵溶液(可必特)雾化吸入,注射用头孢唑肟钠抗感染,多索茶碱葡萄糖注射液、二羟丙茶碱注射液平喘,喘可治注射液(中成药),消咳喘片(中成药)止咳、祛痰,注
1 case data patient male, 58 years old, October 8, 2012 due to repeated cough, sputum with wheezing for 4 years, increased in January admission. No history of drug allergy. Admission examination: T36.3 ℃, R 21 times / min, P 72 times / min, BP 120/85 mmHg. Laboratory tests showed that leucocytes 7.7 × 10 ~ 9 · L ~ (-1), neutrophils 64%, lymphocytes 19.2%, erythrocytes 4.84 × 10 ~ (12) · L -1, hemoglobin 156 g · L ~ (-1); platelet 295 × 10 ~ 9 · L ~ (-1). Admission diagnosis: acute exacerbation of chronic obstructive pulmonary disease (AECOPD); acute exacerbation of bronchial asthma. Given oxygen, inhaled with compound ipratropium bromide solution (may be essential) aerosol inhalation, injection of ceftizoxime sodium anti-infection, doxofylline glucose injection, dihydroepinophyllin injection asthma, asthma Can cure injection (proprietary Chinese medicine), eliminate cough tablets (proprietary Chinese medicine) cough, expectorant, note