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虽然在9岁后很少发生百日咳,但确有报道,主要见于女孩和妇女.因此,在对持续性咳嗽作鉴别诊断时,应考虑百日咳.作者报告一名接种过菌苗的12岁女孩发生百日咳.患者起病前健康状况良好,起病时出现阵发性干咳,但无发热、鼻溢、夜间咳嗽、出汗、气急、喘鸣或胸痛等症状.体格检查也无明显异常,诊断为病毒感染.以后,发生夜间阵咳、并有咳嗽后的特殊吼声.2周后,患者除有夜间阵咳外,在阵咳后出现剧烈头痛,同时伴有定向障碍和焦虑,头痛持续1小时.起病第3周时用咳碟法检得百日咳杆菌,于是,给予口服红霉素治疗,
Although pertussis is rare after 9 years of age, it has been reported that it is mainly found in girls and women, so pertussis should be considered in the differential diagnosis of persistent cough. The authors report the onset of a 12-year-old girl who had been vaccinated Pertussis .Patients before the onset of good health, onset of paroxysmal dry cough, but no fever, rhinorrhea, nocturnal cough, sweating, shortness of breath, wheezing or chest pain and other symptoms .Abnormal physical examination was diagnosed as After a night of cough and cough after a special roar .2 weeks after the patient in addition to nighttime cough, severe cough after combating cough, accompanied by disorientation and anxiety, headache continued for 1 hour 3 weeks of onset with cough dish method to detect Bordetella pertussis, so given oral erythromycin treatment,