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例1 男,2月。以咳喘4d,加重1d入院。足月顺产,父母非近亲婚配。查体T37.9℃,R82次lmin,P180次/min,体重4.5kg,发育营养欠佳。面色青灰,鼻扇,三凹征(+),双肺满布喘鸣。心界不大,心音低钝,未闻及杂音。肝肋下3cm,剑突下2cm,双下肢微肿。WBC12.7×10~9/L,N0.78,诊断为毛细支气管炎。经吸氧,肌注干扰素,静滴先锋唑啉,酚妥拉明,地塞米松,西地兰,速尿等活疗,4d后憋喘减轻,呼吸仍较快(60次/min)。胸片示肺纹理多乱心脏横径稍大。心脏B超提示左心发育不良。住院8d自动出院。
Example 1 male, February. To cough 4d, increase 1d admission. Full-term follow-up, parents and non-relatives of marriage. Physical examination T37.9 ℃, R82 times lmin, P180 times / min, weight 4.5kg, poor nutrition. Looking blue, nose fan, three concave sign (+), lungs filled with wheezing. Little heart, low heart sound blunt, no smell and noise. Liver ribs 3cm, xiphoid 2cm, both lower extremity slightly swollen. WBC12.7 × 10 ~ 9 / L, N0.78, diagnosis of bronchiolitis. After inhaled oxygen, intramuscular injection of interferon, intravenous drip pioneer oxazoline, phentolamine, dexamethasone, cedilanid, furosemide and other active treatment, 4d after the suppression of wheezing, breathing is still fast (60 times / min) . Chest radiograph showed lung texture disorderly heart diameter slightly larger. Heart B-Tip Left heart dysplasia. Discharged 8d hospital automatically.