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男,9岁。发热、寒战、咳嗽、咳痰3d,于1990年9月24日入院。既往体健,乙型肝炎接触史9年,其父曾患乙型肝炎,乙肝病毒表面抗原持续阳性。体检:体温38.5℃,脉搏100/min,血压12.50/7.98kPa,呼吸22/min。发育营养好,神志清楚,查体合作。无皮疹及出血点,皮肤及巩膜无黄染。双肺叩诊清音,右肺可闻及少量湿性啰音,余无异常发现。实验室检查:白细胞10.8×10~/L,中性粒细胞0.54.淋巴细胞0.42,单核细胞0.04,血红蛋白142g/L。胸片:双肺纹理增强。
Male, 9 years old. Fever, chills, cough, sputum 3d, admitted to hospital on September 24, 1990. Past physical health, hepatitis B exposure history of 9 years, his father had hepatitis B, hepatitis B virus surface antigen continued positive. Physical examination: body temperature 38.5 ℃, pulse 100 / min, blood pressure 12.50 / 7.98kPa, breathing 22 / min. Development of good nutrition, conscious, physical examination cooperation. No rash and bleeding, no yellowish skin and sclera. Pneumonia percussion both lungs, the right lung can smell a small amount of wet rales, I found no abnormalities. Laboratory tests: white blood cells 10.8 × 10 ~ / L, neutrophils 0.54. Lymphocytes 0.42, monocytes 0.04, hemoglobin 142g / L. Chest radiograph: double lung texture enhancement.