论文部分内容阅读
患儿女性,9岁.反复咳嗽1年余,加剧3个月伴发热、气急入院,当地医院按“支气管炎”、“支气管肺炎”、“肺结核”,经多种抗生素及抗痨药治疗,病情仍渐加重而转本院,患儿出生后2个月被领养,生长在农村,否认有结核病接触及过敏性疾病史,接种过卡介苗,体检:T38℃,R28次/分,P102次/分,BP12/8kPa,体重18.5kg.神清、消瘦、精神软,气稍促,无发绀,浅表淋巴结未触及,扁平胸,背部叩诊呈实音,两肺闻及散在性干湿罗音,曾闻及一过性特殊干罗音(爆破音),心音强,律齐,心界叩诊无扩大,未闻及杂音,腹部平软,肝
Children with children, aged 9. Repeated cough for more than 1 year, exacerbated 3 months with fever, shortness of breath hospitalized, the local hospital according to “bronchitis”, “bronchial pneumonia”, “tuberculosis”, after a variety of antibiotics and anti-tuberculosis treatment, The condition is still gradually heavier and transferred to the hospital, the children were adopted 2 months after birth, grew up in rural areas, denied a history of exposure to tuberculosis and allergic diseases, BCG vaccination, physical examination: T38 ℃, R28 beats / min, P102 / Points, BP12 / 8kPa, weight 18.5kg. God clear, weight loss, the spirit of soft, gas Slightly promote, no cyanosis, superficial lymph nodes not touched, flat chest, back percussion was solid tone, , Once heard and had a special dry rales (plosive), strong heart sound, law Qi, heart percussion no expansion, no smell and noise, flat belly soft, liver