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zuo zuo qing dan tang jia jian zhi liao fan fu yao wu re yan an yi ze
Author(s): 
Pages: 108
Year: Issue:  4
Journal: Asia-Pacific Traditional Medicine

Keyword:  蒿芩清胆汤肺炎链球菌肺炎药物热;
Abstract: <正>1典型病例张某,女,14岁,于2013年8月7日初诊。患者自诉10天前因"反复咳嗽、咳痰2周,加重3天"在外院住院治疗,外院胸片提示:左上肺实变影,肋膈角少量胸腔积液;病原菌培养提示肺炎链球菌感染,诊断为肺炎链球菌肺炎,外院予以青霉素、左氧氟沙星、头孢曲松等抗菌治疗,效果不佳,用药后全身反复出现斑疹、发热,热势每天下午加重,体温39.8℃左右,停药后斑疹消失,发热稍减,继续抗生素治疗后斑疹复发,发热较前加重,考虑药物引起反复斑疹、高热,遂转入我院进一步治疗。刻诊:患者自诉发热,且午后加重,前半夜尤剧,伴胸腹部灼热、心烦、口微渴,咳嗽、咳痰减轻,全身乏力,无胸闷、气促等不适;舌质红,苔白微黄腻,脉弦滑。西医诊断为肺炎链球菌肺炎,中医诊断为暑湿,辨证
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