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患儿,女,5岁半,住院号253580.以呼吸急促伴声嘶5小时,于1982年2月6日晨就诊.患儿昨夜不慎跌进木炭火盆里.当时未发现明显异常.其后患儿呼吸急促,发烧,哭不出声,饮水发呛,但无咳嗽及呕吐.门诊以体温39.5℃,声嘶,咽部有白膜,诊为“白喉”收住我科.体检:T38.3℃,P140次/分,R36次/分,BP100/80mmHg.神志清,急性病容,左面部微红,左嘴角有米粒至高梁米大小之水泡数个.鼻翼动,鼻腔有较多粘稠分泌物,口唇干燥无紫绀,舌有白薄苔,口腔粘膜充血,两侧扁桃体充血,Ⅱ°肿大、无糜烂、表面有少许灰白色膜状物,并波及悬雍垂及软腭,擦之易出血。颈软无抵抗,两肺呼吸音粗糙,心率140次/分,律齐,无杂
Children, women, 5 years and a half, hospital number 253580. To respiratory syncysis hoarse for 5 hours on the morning of February 6, 1982. Children accidentally fell into the charcoal brazier last night when no obvious abnormalities were found. After children with shortness of breath, fever, crying out loud, drinking water choking, but no cough and vomiting. Outpatient temperature 39.5 ℃, hoarseness, pharynx has a white membrane, diagnosed as “diphtheria” T38.3 ℃, P140 times / min, R36 times / min, BP100 / 80mmHg. Consciousness, acute disease, left reddish, left mouth with rice to sorghum rice size of the number of blisters. Sticky discharge, dry lips without cyanosis, tongue thin white moss, oral mucosal hyperemia, both sides of the tonsil congestion, Ⅱ ° enlargement, no erosion, the surface of a little gray film, and spread to the uvula and soft palate, rub Easy bleeding. Neck soft non-resistance, rough breathing sounds of both lungs, heart rate 140 beats / min, law Qi, without miscellaneous