患女,6岁,以间断性咳嗽、咯痰2年,加重1月主诉入院。患儿从新生儿期即有反复发作的咳 嗽、气喘、痰多,每次给予抗炎治疗即愈,每年数次,时轻时重。1月前,受凉后诸证又起,在外院按肺炎治疗,无明显效果。查体T36.8℃、P80次/min、R30次/min、体重16kg。发育营养稍差,颜面皮肤呈紫红色,口唇发绀,咽充血,扁桃体Ⅰ°肿大,胸廓不对称,右前下部塌陷,双肺呼吸音粗,可闻及中细湿罗音,心尖搏动在右侧第5肋间隙,锁骨中线内约0.5cm处,无震颤及杂音,轻度杵状指(趾)。实验室检查:Hb120g/L,WBC24.3×10~9/L、NO.83、LO.17、ESR18mm/h,胸片及副鼻窦片 Females, 6 years old, with intermittent cough, expectoration for 2 years, increased in January chief complaint. Children from the neonatal period that recurrent cough, asthma, phlegm, each given anti-inflammatory treatment Jiyu, several times a year, when light weight. A month ago, after the cold all kinds of evidence started again in the outer court treatment of pneumonia, no significant effect. Physical examination T36.8 ℃, P80 times / min, R30 times / min, weight 16kg. Development of nutrition is slightly worse, the facial skin was purple, lips cyanosis, pharyngeal congestion, tonsil I ° enlargement, thorax asymmetry, the lower right anterior collapse, lung breath sounds crude, can be heard and in fine wet rales, apical beating right Side of the 5th intercostal space, about 0.5cm in the midclavicular line, no tremor and murmur, mild clubbing (toe). Laboratory tests: Hb120g / L, WBC24.3 × 10 ~ 9 / L, NO.83, LO.17, ESR18mm / h, chest and sinus pieces