临床病理讨论—咳嗽、呼吸困难、肝脾肿大

• 作 者: 章培锋 潘舜华 沈建军 匡希文
• 机 构: 衡阳医学院附属二医院儿科,衡阳医学院附属二医院儿科,衡阳医学院附属二医院病理科,衡阳市二医院病理科,
• 出 处: 衡阳医学院学报
• 发表日期: 1985年03期
• 关键词: 临床病理讨论 呼吸困难 阵发性咳嗽 肝脾肿大 喉中痰鸣 面色青 四胎 母乳喂养 出生后 中西药治疗

病历摘要患者女,3岁零2个月,住院号5554,于出生后2个月开始阵发性咳嗽,喉中痰鸣,伴黄绿色稀便,每日5～8次,含少许粘液。食奶较少,渐消瘦。经中西药治疗效果不佳。近5天来咳嗽加剧,气急,烦躁不安,尿量减少,面色青灰,唇发绀。于1984年11月30日入院。病后无抽搐,发热情况不详。患儿系第四胎第三产,足月平产。生后母乳喂养,奶量充足,2个月会微笑。未作预防接种。父母及同胞兄姐均健。

Patient history Female patient, 3 years and 2 months, hospital number 5554, 2 months after birth, paroxysmal cough, phlegm in the throat, with yellowish green loose stools, 5 to 8 times a day, with a little mucus. Less milk, getting thinner. Chinese and Western medicine treatment ineffective. Cough increased in the past 5 days, shortness of breath, irritability, decreased urine output, looking blue, lip cyanosis. On November 30, 1984 admission. After the illness without convulsions, fever is unknown. The fourth child in the third trimester of children, full-term pregnancy. Breastfeeding after birth, adequate milk, 2 months will be smiling. Not vaccinated. Parents and siblings are healthy.