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患儿,女,4岁。主诉咳嗽憋气、发热反复发作40余天。患儿于40天前无明显诱因情况下,突发咳嗽、憋气,继而出现发热,时而出现口唇发绀,呼吸困难,约持续3分钟左右可缓解。发病后在当地医院就诊,考虑为“大叶性肺炎、肺门结核”,但对症治疗无效。X线胸片示左肺不张,疑为“支气管异物”于1992年7月5日转至本院。听诊左肺呼吸音消失。验血WBC11.3×10~9/L,N0.76,L0.24.X线胸透仍示左肺不张,支气管镜检查见右支气管通畅;左支气管开口被堵塞,用异物钳钳取数块腐肉样组织(未送病理检查),管腔基本通畅,终止手术。1周后复查X线胸片,结果显示左胸轻陷,左肺
Children, female, 4 years old. Chief complaint cough breath, repeated episodes of fever more than 40 days. Children 40 days ago no obvious incentive circumstances, sudden cough, suffocation, followed by fever, sometimes appear lips cyanosis, breathing difficulties, about 3 minutes or so can be alleviated. After the onset of treatment in the local hospital, considered as “lobar pneumonia, hilar tuberculosis”, but symptomatic treatment is invalid. X-ray showed left atelectasis, suspected “bronchial foreign body” in July 5, 1992 to our hospital. Auscultation left lung breath sounds disappear. Blood test WBC11.3 × 10 ~ 9 / L, N0.76, L0.24.X line chest X-ray still shows left atelectasis, bronchoscopy to see the right bronchial patency; left bronchial opening was blocked with foreign body clamp pliers to take Several pieces of carrion-like tissue (not sent pathological examination), lumen basically smooth, terminate the operation. A week after the review of X-ray, the results showed left chest subsidence, left lung