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黄某某,女,13岁,住院号9072。因反复咳嗽、脓痰伴发热七月余入院。患儿于七个多月前出现咳嗽、发热,在当地卫产院先后以“支气管炎”、“肺炎”治疗症状无好转,咳嗽逐渐加重,咳出黄色粘稠脓痰,量多,有腥臭味,无血痰及呼吸困难,时有不规则发热,食欲减退,日渐消瘦,但精神尚可,无盗汗,因多次在卫生院治疗病情无改善,遂到当地县医院留医,拍胸片示右肺金黄色葡萄球菌性肺炎,痰培养出金黄色葡萄球菌,予以红霉素、氯霉素、庆大霉素、邻氯青霉素等治疗亦无明显好转,住院五十余天自动要求出院而转我院。平素体健,多次接受过预防接种,否认有肺结核接触史。体格检查:T38.8℃,R40次/min,体质消
Huang Moumou, female, 13 years old, hospital number 9072. Due to repeated coughing, purulent sputum with fever more than seven months admitted to hospital. Children with cough and fever more than seven months ago, the local health care home has “bronchitis”, “pneumonia” no improvement in symptoms, cough and gradually increased, coughing yellow sticky purulent sputum, the amount of more stench No blood phlegm and breathing difficulties, irregular fever, loss of appetite, getting thinner, but the spirit is acceptable, no night sweats, as many times in the hospital for treatment of the disease did not improve, then to the local county hospital for medical treatment, chest X-ray show right Staphylococcus aureus pneumonia, sputum culture of Staphylococcus aureus, to be erythromycin, chloramphenicol, gentamicin, orthoclaurin and other treatment did not significantly improve the hospital for more than 50 days automatically request the discharge and turn Our hospital. Usually healthy, repeatedly vaccinated, denied a history of exposure to tuberculosis. Physical examination: T38.8 ℃, R40 times / min, physical consumption