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患者女,26岁,主因“反复咳嗽、咳痰6年余,咯血3d”于2012-05-03入我院呼吸内科。既往有“支气管扩张”病史。患者入院前胸部X线片示:双下肺少许炎症。入院当天行“青霉素”皮试阴性,予“哌拉西林/他唑巴坦+阿米卡星”联合抗感染治疗。患者于次日(2012-05-04)中午突发烦躁不安,继而出现四肢强直性抽搐、眼睑上翻、牙关紧闭、小便失禁,当时无皮疹、发热,查指尖血糖、电解质未见异常;予“安定+丙戊酸钠”治疗,不能
Female patient, 26 years old, mainly due to “repeated cough, sputum more than 6 years, hemoptysis 3d ” in 2012-05-03 into our hospital respiratory medicine. Past history of bronchiectasis. Patients before admission chest X-ray showed: a little inflammation of the lower lungs. The day of admission “penicillin ” skin test negative, to “piperacillin / tazobactam + amikacin ” combined anti-infective treatment. Patients at the next day (2012-05-04) noon burst of irritability, followed by tetanic twitching, eyelid turned up, closed the mouth, urinary incontinence, no rash, fever, check fingertip blood glucose, electrolytes no abnormalities ; To “stability + sodium valproate ” treatment, can not