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患者,男,30岁,入院前5天办公室内喷洒敌敌畏灭蚊,吸入空气中的药物,引起咳嗽,胸闷。开始为干咳,以后咳出少量黄色粘痰,不易咳出,伴有头昏及四肢酸软无力,无咯血,无发热。既往两次均吸入他人喷洒的敌敌畏而发病。检查:体温37℃,胸部叩诊无浊音,两肺呼吸音清晰,未闻及干湿罗音。化验室检查:自细胞9.2×10~9/L,中性0.44,淋巴0.26,酸性0.3。胸片见右上肺有小片状淡薄阴影,边界不清。X线诊断:过敏性肺炎。患者经口服地寨米松,扑尔敏,非那根等药物
Patient, male, 30 years old, 5 days before admission Office spraying dichlorvos mosquito, inhalation of drugs in the air, causing cough, chest tightness. Start as dry cough, after coughing a small amount of yellow phlegm, difficult to cough, accompanied by dizziness and limb weakness, no hemoptysis, no fever. In the past both inhaled other people’s dichlorvos spray and disease. Check: body temperature 37 ℃, chest percussion no voiced sound, clear breath sounds of both lungs, no smell and wet and dry rales. Laboratory tests: from cells 9.2 × 10 ~ 9 / L, neutral 0.44, lymphatic 0.26, acidic 0.3. Chest X-ray see a small piece of light right shadow, the border is unclear. X-ray diagnosis: allergic pneumonia. Patients by oral Walmsley, chlorpheniramine, non-root and other drugs