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患儿女,8个月.咳嗽、(?)间断发热4个月,近1个月以午后及夜间为(?).体温在38℃左右,伴腹泻每日3～4次,水样便.患病4个月在当地医院以支气管肺炎先后住院5次,经抗炎治疗无效,病情渐重,来我院就医.查体:体温36.5℃,呼吸46次/分,心率128次/分,体重5.0kg,发育差.消瘦呈慢性消耗性病容.呼吸急促,喘憋,可见鼻扇及三凹征,口唇发绀.颈软,心音低钝。节律整齐,心率128次/分,心尖可闻及二级收缩期吹风样杂音,双肺呼吸音粗糙,
Children with cough, (?) Intermittent fever for 4 months, nearly 1 month in the afternoon and night (?) .Body temperature is about 38 ℃, with diarrhea 3 to 4 times a day, watery stool 4 months in the local hospital with bronchial pneumonia has been hospitalized 5 times, the anti-inflammatory treatment ineffective, progressive illness, to our hospital for medical examination Physical examination: body temperature 36.5 ℃, breathing 46 beats / min, heart rate 128 beats / min , Body weight 5.0kg, poor development.Wasting weight was chronic wasting disease.Shypertension, wheezing, visible nasal fan and three concave signs, lips cyanosis.Jing soft, low heart sound blunt. Rhythm and tidy, heart rate 128 beats / min, apex can be heard and secondary systolic hair-like murmur, lung breath sounds rough,