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作者报告一例3岁男孩,以可能为“肾病综合征”的诊断来诊。在8个月时开始有进行性呼吸困难,鼾声呼吸,睡眠时尤甚,并常患上呼吸道感染。查体见腺样体面容,呼吸响声颇大,体温37.8℃,心率150/分,呼吸60/分,血压100/60毫米汞柱。扁桃体与腺样体均增大,几乎堵塞全部口咽腔。胸骨上窝与肋间均凹陷,可闻少许鼾音与水泡音。第二心音分裂在肺动脉瓣区清楚,无杂音。下肢轻度指凹性水肿,肝在右肋下5厘米。除兴奋外神经系检查正常。心电图
The authors report a 3-year-old boy who is diagnosed with the possible diagnosis of “nephrotic syndrome.” Progressive dyspnea started at 8 months, snoring and breathing, especially during sleep, and often had upper respiratory infections. Adenoid body surface to see examination, breathing loudly, body temperature 37.8 ℃, heart rate 150 / min, breathing 60 / min, blood pressure 100/60 mm Hg. Tonsils and adenoids were increased, almost blocking the entire oropharyngeal cavity. Supovertebral fossa and intercostal space are hollow, can smell a little snoring sound and blisters sound. The second heart sound split in the pulmonary valve area clear, no noise. Lower extremity mildly concave edema, the liver in the right rib 5 cm. In addition to excitement outside the normal examination of the nervous system. Electrocardiogram