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一、小儿慢性咳嗽可由不同病因引起,故首先应明确病因,除去病因即能终止慢性咳嗽。例1:1(1/2)岁,女孩。咳嗽伴间断发烧3个月。曾因吃苹果后呛咳,后缓解。一周后发烧伴咳有时喘,先后在几个医院诊断为先天性膈疝、肺炎等(曾用过多种抗生素治疗无效)。查体:左肺叩诊高清音,呼吸音低,两肺可闻少许中小湿罗音。胸片示左肺气肿、纵隔气疝。作气管镜检查,于左支气管内取出花生米一块。咳嗽、喘、发烧症状均消失。
First, children with chronic cough caused by different causes, it should first clear the cause, remove the cause that can stop the chronic cough. Example 1: 1 (1/2) year old, girl. Cough with intermittent fever 3 months. Had to choking cough after eating apples, ease later. A week after a fever with cough sometimes asthma, has diagnosed in several hospitals for congenital diaphragmatic hernia, pneumonia, etc. (had used a variety of antibiotic treatment ineffective). Physical examination: left lung percussion high-definition sound, low breath sounds, two lungs can smell a little wet rales. Chest radiograph showed left emphysema, mediastinal hernia. For bronchoscopy, remove the peanuts in the left bronchus. Cough, asthma, fever symptoms disappear.