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患者,栾某,女,6岁。入院前20日患“麻疹”,发热,第五日疹退,纳差,少睡,精神萎糜,偶咳,声嘶,用抗生素无效。近9日发生吸气性呼吸困难,4日来加剧性阵发性憋气,1994年3月27日入院,否认异物史。 入院查体呈重度痛苦病容。体温37.8℃,呼吸60次/分,脉搏136次/分,皮肤苍白,全身消瘦脱水,呈明显危笃状态。吸气性呼吸困难Ⅳ°:吸气时鼻翼极度煽动,颈、胸部软组织极度下陷,头后仰,双眼无神、唇、颊、指、趾严重青紫,谵妄燥动,吸气喉
Patients, Luan a, female, 6 years old. 20 days before admission, suffering from “measles”, fever, the fifth day of rash, anorexia, sleep less, spiritual wilt Mi, even cough, hoarseness, with antibiotics ineffective. Nearly 9 occurred aspiration breathing difficulties, 4 to aggravate paroxysmal suffocation, admitted March 27, 1994, denied the history of foreign body. Admission examination showed severe pain and sickness. Body temperature 37.8 ℃, breathing 60 beats / min, pulse 136 beats / min, pale skin, body weight loss dehydration, was obviously dangerous state. Inspiratory difficulty breathing Ⅳ °: Extremely incitement of the nose when inhaling, extreme subsidence of the neck and chest soft tissue, head backwards, both eyes atheism, lips, cheeks, fingers, toe serious bruising, delirium dry, inhalation throat