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患儿男、六岁半、住院号:4255,1979年9月29日入院。患儿入院前二天,食青海鱼后咳嗽痰多逐渐加重。第二日午后自觉出气困难、不能平卧、胸闷、烦躁不安、伴发烧T38℃,无恶心呕吐,大小便正常。一年前发作哮喘一次,经一般治疗即愈。服过“气管炎丸”。是否用过强的松不详。家族中无类似病史。体查:T37℃发育一般,神志清,呼吸46次/分气喘、呼气性呼吸困难、三四症阳性、无发绀。心(一)、两肺满布哮呜音。治疗经过:庆大霉素4万u2/日(im)强的松10mg 3/日po.入院后哮喘重,肌注氨茶硷75mg,
Children male, six and a half, hospital number: 4255, September 29, 1979 admission. Children admitted to hospital two days before, eat Qinghai fish cough phlegm gradually increased. The afternoon of the second day aspiration difficulties, can not supine, chest tightness, irritability, with fever T38 ℃, no nausea and vomiting, normal urine. Attack of asthma a year ago, the general treatment Jiyu. Served “tracheitis pill.” Is it too strong loose pine unknown. No similar family history. Physical examination: T37 ℃ development in general, conscious mind, breathing 46 beats / min asthma, expiratory breathing difficulties, 34 positive, no cyanosis. Heart (a), lungs covered with whistling sound. After treatment: gentamicin 40,000 u2 / day (im) prednisone 10mg 3 / day po. Asthma after admission weight, intramuscular aminophylline 75mg,