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患者:女,1岁。因发热、阵咳、气急4天伴胸部及颈部广泛肿胀1天于1995年6月19日入院。体检:T38.5℃,P120次/分,R54次/分,神清,气促,吸气费力,双眼睁大固定,大汗淋漓,颈及胸部明显肿胀,触诊呈捻发音,双肺闻及干性啰音及痰鸣音,以左肺明显,右肺呼吸音减低,心率140次/分,腹软,肝肋下2.5cm,脾未及。实验检查:血红蛋白85g/L,WBC 13.2×10~9/L,N 0.78,L 0.22,血沉31mm/H,BUN 3.34mmol/l,血培养无菌生长,肝功能正常,HBsAg(—),胸片:右下、左肺弥漫性斑状密度增高影,边缘模糊,右肺中外带肺野透亮度增强,纵膈内积气,两侧胸壁及颈部软组织广泛积气。诊断:两肺炎症伴右肺气肿,纵膈
Patient: Female, 1 year old. Due to fever, cough cough, shortness of breath 4 days with extensive swelling of the chest and neck 1 day in June 19, 1995 admission. Physical examination: T38.5 ℃, P120 beats / min, R54 beats / min, Shen Qing, shortness of breath, inspiratory effort, his eyes widened fixed, sweating, neck and chest were significantly swollen, Smell and dry rales and phlegm sounds, obvious to the left lung, reduced right lung breath sounds, heart rate 140 beats / min, abdominal soft, liver ribs 2.5cm, spleen and not. Experimental tests: hemoglobin 85g / L, WBC 13.2 × 10 ~ 9 / L, N 0.78, L 0.22, erythrocyte sedimentation rate 31mm / H, BUN 3.34mmol / l, blood culture sterile growth, normal liver function, HBsAg Film: lower right, left lung diffuse plaque density increased shadow, fuzzy edge, right lung lung field translucent brightness enhancement, mediastinal mediastinal, bilateral chest wall and neck soft tissue extensive gas. Diagnosis: Two lung inflammation with right emphysema, mediastinum