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男,3(1/2)岁,因不规则发热,咳嗽20余天入院。起病时体温38～39℃,伴干咳,在外院注射青霉素3天后热退,仍咳嗽并出现气促,经胸片及B超检查发现心包积液。经抗炎治疗20天无改变。既往健康,祖母有咳嗽、咯血史。体查:体温36.2℃,脉搏100次,血压110/80,无气促、紫绀,奇脉不明显,咽充血,扁桃体肿大Ⅱ°。颈静脉稍充盈,双肺可闻少许干湿罗音,心尖搏动不显,心向左扩
Male, 3 (1/2) years old, due to irregular fever, cough for more than 20 days admitted to hospital. When the onset of body temperature 38 ~ 39 ℃, with dry cough, injection of penicillin in the hospital three days after the heat back, still cough and shortness of breath, chest and B-ultrasound found pericardial effusion. Anti-inflammatory treatment for 20 days without change. Past health, grandmother cough, hemoptysis history. Physical examination: body temperature 36.2 ℃, pulse 100 times, blood pressure 110/80, no shortness of breath, cyanosis, Qi pulse is not obvious, pharyngeal congestion, tonsil enlargement Ⅱ °. Jugular vein a little filling, lungs can smell a little wet and dry rales, apical pulsation is not significant, the heart to the left expansion