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患者,女,6岁,住院号:0344。因不规则发热,咳嗽20余天,于1982年1月9日入院.入院前10天咳吐黄绿色稠痰,特臭,痰量逐渐增多(至入院时每日达200毫升左右)并气喘逐渐加重。发病后食欲渐减,面黄,消瘦。曾于当地医院按肺炎治疗无效,而转我院。体检:体温37.1度,脉搏120次,呼吸36～38次,气急,不愿平卧,鼻翼搧动,气管居中。两肺广泛干湿罗音,右肺以中等水泡音为主。痰液直观检查:黄绿色,粘稠,特臭(似腐臭的熟鸡蛋)。血液常规检查:红细胞260万,血色素50%,白细胞13000,分类:中性73%,淋巴27%。胸部X线检查:右中下肺野均见片状致密阴影,中间见透亮区。
Patient, female, 6 years old, hospital number 0344. Due to irregular fever, cough for more than 20 days, admitted to hospital on January 9, 1982. 10 days before admission cough spit yellowish thick thick sputum, special smell, sputum volume gradually increased (to admission to about 200 ml per day) and gradually asthma Increase. After the onset of appetite decreased face yellow, weight loss. In the local hospital treatment of pneumonia invalid, and transferred to our hospital. Physical examination: body temperature 37.1 degrees, pulse 120 times, breathing 36 to 38 times, shortness of breath, do not want supine, nose flap, tracheal center. Both lungs are widely wet and dry rales, the right lung to moderate blisters based. Sputum visual inspection: yellow-green, thick, special smell (like rotten cooked eggs). Routine blood tests: 2.6 million red blood cells, hemoglobin 50%, white blood cells 13000, classification: 73% neutral, lymph 27%. Chest X-ray examination: the right middle and lower lung fields were see flaky dense shadow, see the middle of the bright area.