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患儿1岁,男,因发热、气喘、轻咳、阵发性哭闹不安1天入院。发病前1天曾食西瓜,但无明显呛咳窒息史,无痉咳发作。平素体健,否认结核病接触史。体检:T38.9℃,P160次/分,R60次/分,发育正常,营养可,呼吸较促,鼻翼轻扇动,无紫绀,咽微赤,颈软,气管无偏移,胸廓对称,左侧呼吸动度稍差,左肺叩浊,呼吸音较对侧减弱,未闻及干湿性罗音,右肺叩清音,呼吸音增强,心、腹(一)。辅检:外周血WBC14.7×10~9/L,N70％,L28％,E2％。胸部X线片:左肺密
Children 1 year old, male, due to fever, asthma, light cough, intermittent crying uneasy 1 day admission. One day before the onset of eating watermelon, but no obvious history of choking asphyxia, no spasmodic cough attack. Usually physical health, denied a history of exposure to tuberculosis. Physical examination: T38.9 ℃, P160 beats / min, R60 beats / min, normal development, nutrition, breathing more urgency, the nose flap light, no cyanosis, pharyngeal red, soft neck, tracheal no offset, thorax symmetry, left Side of the respiratory rate is slightly worse, the left lung knock turbidity, breath sounds weaker than the contralateral, no smell and wet and dry rales, right lung knock clear voice, increased respiratory sounds, heart, abdomen (a). Auxiliary examination: peripheral blood WBC14.7 × 10 ~ 9 / L, N70%, L28%, E2%. Chest X-ray film: left lung dense