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患儿,男,13个月。因反复咳喘半年于1989年1月13日住院。患儿2个月时曾患“增殖体肥大”,未作处理。以后常发热、咳喘,半年来发作频繁,面部浮肿,平卧时鼻咽部可闻鼾声,面唇青紫,夜间明显。体检:P142次/分,R60次/分,面部浮肿,Ⅱ°呼吸困难,闻鼾声,口唇紫绀,咽充血。心前区饱满,心脏右界扩大,P_2亢进。两肺散在干鸣音。肝右肋下2.5～3cm。杵状指,两下肢可凹性水肿。实验室检查:WBC7.2×10~9/L,N66%,L34%,RBC3.45×10~(12)/L,Hb105/L,ASO<500u。胸片:肺野清晰,
Children, male, 13 months. Due to repeated cough for six months in January 13, 1989 hospitalization. Children suffering from “proliferating body hypertrophy” at 2 months without treatment. After the usual fever, cough, seizures frequent over the past six months, facial edema, nasopharyngeal snoring sound when lying, face lips bruising, significantly at night. Physical examination: P142 times / min, R60 beats / min, facial edema, Ⅱ ° breathing difficulties, snoring, cyanotic lips, pharyngeal congestion. Pre-parenchyma area, the heart of the right world to expand, P 2 hyperthyroidism. Two lungs scattered in the dry beep. Right hepatic ribs 2.5 ~ 3cm. Clubbing refers to both lower extremity concave edema. Laboratory tests: WBC7.2 × 10 ~ 9 / L, N66%, L34%, RBC3.45 × 10-12 / L, Hb105 / L, ASO <500u. Chest radiograph: lung field clear,