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患儿,男,5 6/12岁。因咳嗽,呼吸困难半月、发热4天于1999年8月2日急诊入院。患儿半月前突然咳嗽,呼吸困难,4天前发热,一直在乡卫生院按“肺炎”静点青霉素3天。症状无好转遂转入我院。入院时查体,体温37.4℃,呈吸气性呼吸困难,右肺呼吸音较左侧略低,闻及少量哮鸣音及细湿罗音。初步诊断“支气管肺炎”。入院第2天患儿呛咳,咳出数口血性痰,吸气显著困难。详问病史其父述患儿半月前嗑瓜籽时突然呛咳,气促。急诊拍胸片示:右肺下野中内带见一膜糊三角形阴影,结合监床表现诊断为“右肺中叶气管异物,右肺中叶不张合并肺部感染。转医学院手术取出瓜籽后痊愈。
Children, male, 5 6/12 years old. Due to cough, difficulty breathing half a month, 4 days fever in August 2, 1999 emergency admission. Children suddenly cough half a month ago, breathing difficulties, fever 4 days ago, has been in the township hospitals by “pneumonia” point penicillin 3 days. No improvement of symptoms transferred to our hospital. Physical examination at admission, body temperature 37.4 ℃, was aspirated breathing difficulties, right lung breath sounds slightly lower than the left, smell a small amount of wheezing and fine wet rales. Preliminary diagnosis of “bronchial pneumonia.” On the second day of admission, children coughed and coughs out several bloody sputum, which was obviously difficult to inhale. Asked the history of its father, a half months ago when children suddenly choking melon seeds cough, shortness of breath. Emergency chest X-ray showed: the right lung hypocrisy within the film to see a shadow of the triangular triangle, combined with the performance of the supervised diagnosis of "right middle lung tracheal foreign body, right middle lung atelectasis and lung infection. get well.