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(病例见本刊2011年第3期彩页)应作检查包括:血过敏原、血免疫球蛋白测定,肺功能,胸部三维CT,纤维支气管镜等。患者检查结果如下:血过敏原测定阴性。血免疫球蛋白测定示IgG、IgA、IgM、补体C3、C4处于正常范围。肺功能示肺潮气呼吸功能异常,存在中度阻塞性通气功能障碍;吸入支气管扩张剂后,肺潮气呼吸功能无改善。胸部三维CT因患儿家长拒绝而未作。纤支镜示支气管炎性变,右上叶、右中叶、右下叶内支和背支及左上叶舌支、左下叶背支的开口偏小。
(See the case of cases in 2011 No. 3 color pages) should be checked include: blood allergens, blood immunoglobulin determination, pulmonary function, chest CT, bronchoscopy and so on. The patient test results are as follows: Blood allergen negative. Blood immunoglobulin measurement showed IgG, IgA, IgM, complement C3, C4 in the normal range. Pulmonary function showed abnormal tidal respiratory function, there is moderate obstructive ventilatory dysfunction; inhaled bronchodilator, pulmonary tidal respiratory function did not improve. Chest three-dimensional CT due to parents refused to make. Bronchitis bronchitis showed bronchitis, upper right lobe, right middle lobe, right lower lobe and the dorsal and upper left lobe tongue branch, left lower lobe dorsal branch opening is small.