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患者女,14岁。因胸闷、气紧、咳嗽1年余,加重3天。1年前无明显诱因出现咳嗽,干咳为主,乏力,时感胸闷、气紧,尤以活动后明显,无发热盗汗。曾以“血行播散型肺结核”住结核专科医院,给予2HRZE/4HR治疗,症状无缓解。3天前因受凉后鼻塞,咳嗽,咳黄稠痰,胸闷、气紧加剧,发热,来院就诊收住院。既往无咯血、咯铁锈色痰及心脏病史。查体:体温39.4℃,脉搏108次/分,血压105/70mmHg,发育迟缓,口唇无紫绀,浅表淋巴结不大。胸廓对称,叩清音,双肺中下部闻Velcros罗音,杵状指(一),双下肢
Female patient, 14 years old. Due to chest tightness, tightness, more than 1 year cough, aggravating 3 days. 1 year ago no obvious incentive to cough, dry cough, fatigue, chest tightness feeling, tight gas, especially after the event was obvious, no fever night sweats. Had to “hematogenous disseminated tuberculosis” tuberculosis specialist hospital, given 2HRZE / 4HR treatment, no relief of symptoms. 3 days ago due to cold and stuffy nose, cough, cough yellow thick sputum, chest tightness, tight gas intensified, fever, to hospital for admission to hospital. Past no hemoptysis, slightly rusty sputum and heart history. Physical examination: body temperature 39.4 ℃, pulse 108 beats / min, blood pressure 105 / 70mmHg, retardation, no cyanotic lips, superficial lymph nodes is not large. Thorax symmetry, knock voiceless, middle and lower lung smell Velcros rales, clubbing refers to (a), both lower extremities