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患儿 女,3个月。以间断发热10余天,伴咳嗽2d就诊。体检:T 3 8.5℃,P 13 5次/min ,R 40次/min。精神差,双肺可闻及中小湿鸣。X线胸片示:双肺野密集分布粟粒状阴影,大小、密度、分布三均匀(图1)。X线诊断:考虑急性粟粒型肺结核。随即仔细询问结核病接触史及接种史,其父亲确认亲
Children with children, 3 months. Intermittent fever for more than 10 days, with cough 2d treatment. Physical examination: T 3 8.5 ℃, P 13 5 times / min, R 40 times / min. Poor spirit, lungs can be heard and small wet mute. X-ray showed: dense distribution of both lung field Miliary shadow, size, density, distribution of three uniform (Figure 1). X-ray diagnosis: consider acute miliary tuberculosis. Immediately asked about the history of exposure to tuberculosis and vaccination history, his father confirmed the pro