患儿男 ,13个月。以反复咳嗽 2 0d ,发热、气促 1d为主诉于 2 0 0 2年 1月 17日入院。 2 0d前接种甲肝疫苗 ,接种疫苗后 2～ 3d即出现咳嗽 ,干咳无痰 ,伴流涕、鼻塞 ,无呼吸困难。当地医院予以肌注青霉素、头孢唑啉等治疗 ,病情不见好转 ,咳嗽逐日加重 ,夜里明显 ,有痰鸣 ,无潮 Children male, 13 months. To repeated cough 20d, fever, shortness of breath induced 1d mainly on January 17, 2002 admission. Hepatitis A vaccine was inoculated 2 0 days before, and cough was observed 2 to 3 days after the vaccination. No cough was found in the cough, nasal congestion and nasal congestion without breathing difficulties. Local hospital to intramuscular penicillin, cefazolin and other treatment, the condition did not improve, the cough increased day by day, the night was clear, phlegm, no tide