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临床资料患者,女,年龄13岁7个月,体重35 kg,身高145 cm。因反复咳嗽、发热3年,加重伴咯血、发热4 d入院。入院查体:体温39.9℃,脉搏110次/分,血压107/71 mm Hg,左肺呼吸运动减弱,语颤减弱,呼吸音低,可闻及湿啰音;右肺正常。CT示:左肺囊肿并感染,漏斗胸畸形;纤维支气管镜示:左主支气管管腔线性狭窄,管腔内见大量脓血(图1);血气分析:动脉血氧分压(PaO2)79.4 mm Hg,动脉血二氧化碳分压(PaCO2)35.6 mm Hg,动脉血氧饱和度(SaO2)96%。临床诊断:
Clinical data Patients, female, aged 13 years and 7 months, weighing 35 kg, height 145 cm. Due to repeated cough, fever for 3 years, aggravated with hemoptysis, fever 4 d admission. Admission examination: body temperature 39.9 ℃, pulse 110 beats / min, blood pressure 107/71 mm Hg, decreased left lung respiratory motion, weakened tremor, low breath sounds, can be heard and wet aura; right lung normal. CT showed the left lung cyst with infection and funnel thoracic deformity. Fiberoptic bronchoscopy showed a linear stenosis of the left main bronchus with a large amount of sepsis in the lumen (Fig. 1). Blood gas analysis PaO2 79.4 mm Hg, PaCO2 35.6 mm Hg, arterial oxygen saturation (SaO2) 96%. clinical diagnosis: