1临床资料患儿,女,9岁,以“咽痛,发热10d,胸痛伴呼吸困难1d”为主诉于2012年7月12日入院。10d前患儿运动后自觉咽痛、发热伴浑身不适,自行口服蒲地蓝消炎口服液(1支/次,3次/d)3d,症状未缓解,仍发热,体温最高达40℃,遂至社区医院就诊,体格检查示双侧扁桃体肿大、咽部有白色分泌物,诊断为急性上呼吸 1 clinical data of children, women, 9 years old, with “sore throat, fever 10d, chest pain with dyspnea 1d ” as the chief complaint on July 12, 2012 admitted. 10d before the children with conscious sore throat after exercise, fever with whole body discomfort, their own oral Pudi Lan anti-inflammatory oral (1/3 times / d) 3d, the symptoms did not ease, still fever, body temperature up to 40 ℃, then to Community hospital, physical examination showed tonsil bilateral enlargement, pharynx white discharge, the diagnosis of acute upper respiratory