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1病历摘要女,4月龄。因发热2d,颜面水肿0.5d入院。患儿因受凉于入院前2d出现发热,T 38.5℃左右,偶有鼻塞,无咳嗽、流涕及吐泻,曾于当地诊所予地塞米松2mg、消炎痛10mg,灌肠2次,间隔约3h左右,体温降至正常,但于入院前0.5d患儿出现颜面水肿,尿量有所减少,无呕吐、抽搐。查体:T 36.2℃,P 128次/min,R 38次/min。神清,哭闹不安,颜面水肿。
1 medical records female, 4 months old. Due to fever 2d, facial edema 0.5d admission. Children with fever due to fever 2d before admission fever, T 38.5 ℃ or so, occasional stuffy nose, no cough, runny nose and vomiting, had a local clinic to dexamethasone 2mg, indomethacin 10mg, enema twice, about 3h intervals , Body temperature dropped to normal, but 0.5d before admission in children with facial edema, decreased urine output, no vomiting, convulsions. Examination: T 36.2 ℃, P 128 times / min, R 38 times / min. Clear, crying uneasiness, facial edema.