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临床资料患儿,女,7岁。因反复咳嗽、咳痰伴发热1月余入院。患儿于1个月前无明显诱因出现咳嗽、咳痰,无痰中带血,伴高热(体温39.4℃),在外院查胸部X线片示:右下肺不张。胸部CT示:右肺中下叶不张。经抗感染等处理后,体温好转,但咳嗽无缓解。在外院行纤维支气管镜检查示:右中间段支气管开口被肉芽肿样物完全堵塞。转入我院拟行手术治疗,入院查体:右下肺呼吸音消失。查血、尿、大便常规、生化、血气分析、出凝血时间等均无异常,心电图、腹部B超检查未见
Clinical data children, female, 7 years old. Due to repeated cough, sputum with fever more than 1 month admitted to hospital. Children in a month ago no obvious incentive cough, sputum, bloody sputum, with high fever (body temperature 39.4 ℃), the chest outside the hospital X-ray examination showed: the right lower lung atelectasis. Chest CT showed: the right lower lobe atelectasis. After anti-infection and other treatment, the body temperature improved, but no relief of cough. Outside the hospital fiberoptic bronchoscopy showed: right middle bronchial opening was completely blocked by granuloma-like material. Into our hospital to be planned surgical treatment, admission examination: the right lower lung breath sounds disappear. Check blood, urine, stool routine, biochemical, blood gas analysis, a clotting time were normal, ECG, abdominal B-ultrasound did not see