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熊姓患儿,男,6岁,因咳嗽逾月来院就诊。患儿病初发热咳嗽,伴流涕鼻塞,体温38.5℃,咽部充血,扁桃腺Ⅰ°肿大,予服复方新诺明片剂,潘生丁及止嗽散,一周后热稍退,但咳加剧,咳剧时伴有呕吐,咳出少量粘液,检查诊断为支气管炎,改用青霉素80万单位,肌注,每天2次,静脉推注氨卡青霉素,每日剂量为1.5克,咳嗽未见好转,7天后改用先锋五号及丁胺苄那霉素,常规剂量使用7天,咳嗽依旧,乃口服氨苄西林胶囊、螺旋霉素,同时服用多种止咳成药;咳嗽仍不见好转,经化验X光检查,疑为支原体肺炎;停用其他抗生
Bear children with children, male, 6 years old, due to cough over the hospital for treatment. Early onset of fever in children with cough, nasal congestion with nasal congestion, body temperature 38.5 ℃, pharyngeal hyperemia, tonsil I ° enlargement, to take the compound cotrolidin tablets, dipyridamole and Cough, one week after the heat slightly back, but cough Aggravating, cough drama accompanied by vomiting, coughing a small amount of mucus, check the diagnosis of bronchitis, switch to 800000 units of penicillin, intramuscular injection, 2 times a day, intravenous injection of ampicillin, a daily dose of 1.5 grams, cough See improved, 7 days after the switch to Pioneer amphetamines and amikacin, the conventional dose of 7 days, the cough is still oral ampicillin capsules, spiramycin, while taking a variety of cough medicine; cough is still not improved, the Laboratory X-ray examination, suspected mycoplasma pneumonia; disable other antibiotics