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患儿,女,2个月。因气喘半月,加重6～7天入院。患儿于半月前出现气喘、哭闹及吃奶后加重,气喘时伴吸气性凹陷。无呛咳及发热。曾在当地医院先后诊为“先天性喉喘鸣”、“哮喘”,给予钙剂、先锋霉素V等治疗,无好转。体检:T 36.8C,呼吸30次/分,心率100次/分,体重7kg。发育营养好,前囟平软,咽红,颈软,气管居中。双肺呼吸音粗,可闻及散在痰鸣音及干罗音。三凹征(+),心脏和腹部无异常体征。外周血WBC 5.5×10~9/L,RBC 3.35×10~(12)/L,Hb 92gL/L。胸部X光片示支气管肺炎。入院诊断为:支气管肺炎;佝偻病;小儿贫血(轻度,营养性)。入院后给予抗感染及钙剂治疗,无明显好转,于入院后3～7天内出现喉梗阻7次,发作时出现吸气性呼吸
Children, women, 2 months. Due to shortness of breath, increased 6 to 7 days admitted to hospital. Children with asthma in half a month ago, after crying and numbness increased, asthma with inspiratory depression. No cough and fever. Has been in the local hospital clinically as “congenital larynx Ming”, “asthma”, given calcium, Vanguard ADM and other treatment, no improvement. Physical examination: T 36.8C, breathing 30 beats / min, heart rate 100 beats / min, weight 7kg. Good nutrition, anterior bland soft, throat, soft neck, tracheal center. Breath sounds coarse lungs, can be heard and scattered sputum ringing and dry rales. Three concave signs (+), heart and abdomen without abnormal signs. Peripheral blood WBC 5.5 × 10 ~ 9 / L, RBC 3.35 × 10 ~ (12) / L, Hb 92gL / L. Chest X-ray showed bronchial pneumonia. Admission diagnosed as: bronchial pneumonia; rickets; anemia in children (mild, nutritious). After admission to give anti-infective and calcium treatment, no significant improvement, 3 to 7 days after admission laryngeal obstruction occurred 7 times, onset of inspiration breathing