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患儿,男,5个月。以腹泻伴发热2d,口周、指端发绀10min入院。患儿于2d前无明显诱因出现腹泻,大便呈黄色稀水样。4～5次/d,可见粘液,无脓血,偶有吐奶,伴发热,体温可高达39.4℃,无抽搐。家属自行给予口服“氟哌酸胶囊”,症状未缓解。入院前10min,患儿出现口周、指端发绀,立即到我院就诊,门诊以“腹泻病,低血钙症?”收入院。患儿系1胎1产,足月顺产,母乳喂养,生后尚体健。查体:T38.5℃,P100次/min,BP13/8kPa,R30次/min,W6.5kg。发育营养差,口唇、指端发绀。胸廓对称,双肺呼吸动度相等,叩诊呈浊音,双肺呼吸音粗,未闻及干湿性鸣音。心音有力,未闻及杂音。腹
Children, male, 5 months. Diarrhea with fever 2d, oral week, finger cyanosis 10min admission. Children in the 2d no obvious incentive to diarrhea, stool was yellowish watery. 4 ~ 5 times / d, visible mucus, no sesame oil, occasionally spit milk, with fever, body temperature can be as high as 39.4 ℃, no convulsions. Family members to give oral “norfloxacin capsules”, the symptoms did not ease. 10min before admission, the patient appeared perioral, finger-side cyanosis, immediately to our hospital, out-patient to “diarrhea, hypocalcemia?” Income hospital. Children born in 1 fetus, full-term birth, breast-feeding, after birth is still healthy. Examination: T38.5 ℃, P100 times / min, BP13 / 8kPa, R30 times / min, W6.5kg. Development of poor nutrition, lips, fingers cyanosis. Thoracic symmetry, equal lung movement, percussion dullness, lung breath sounds thick, unheard of, and wet and dry beeps. Strong heart sound, no smell and noise. belly