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患者,男,2岁,住院号900421。因发热咳喘4日于1990年2月11日下午8时入院。T 39.5℃,R 80,P 160。危重病容鼻翼扇动,吸气三凹征,呼吸浅快并间停。两肺密集湿罗音及哮呜音。心界不扩大,心律齐,无杂音。肝脾不大,肠呜音活跃。胸片:两肺沿支气管分布点片状模糊影。WBC 220×10~9/L,N 0.86,L 0.14。诊断:支气管肺炎,呼衰。给抗菌素、呼吸兴奋剂,面罩吸氧,间断人工胸外按压辅助呼吸。13日下午无脉搏,心率170次/分,心音有力。诊断为合并感染性休克,加抗休克治疗。至14日下午仍无脉搏,
Patient, male, 2 years old, hospital number 900421. Cough on the 4th due to fever on February 11, 1990 at 8 pm admission. T 39.5 ° C, R 80, P 160. Seriously sick nose flapping, inhaling three concave sign, shallow breathing and intervening. Both lungs intensive wet rales and asthma sounds. Heart does not expand, heart rhythm, no noise. Small spleen and liver, bowel sounds active. Chest radiograph: bronchial distribution of both lungs flaky fuzzy shadow. WBC 220 × 10 ~ 9 / L, N 0.86, L 0.14. Diagnosis: bronchial pneumonia, respiratory failure. Give antibiotics, respiratory stimulants, mask oxygen, intermittent artificial chest compressions assisted breathing. No pulse on the 13th afternoon, heart rate 170 beats / min, strong heart sounds. Diagnosis of septic shock, plus anti-shock treatment. To the afternoon of the 14th still no pulse,