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患儿,李××,男,3岁。因发热咳嗽咽痛10天,吞咽困难呼吸困难3天来院就诊。查体:体温38.8℃,呼吸每分钟40次,神志清,烦躁不安,呼吸困难,皮肤粘膜干燥,口腔中有较多白色粘液状分泌物,两扁桃体Ⅱ°肿大,语言不清,头后仰,鼻扇,三凹征阳性,两肺有少量干性罗音。诊断:①急性扁桃体炎,②急性支气管炎,③脱水酸中毒。给吸氧、抗生素、输液纠酸等综合治疗不见好转。5小
Children, Lee × ×, male, 3 years old. Cough sore throat for 10 days due to fever, dyspnea difficulty swallowing 3 days to hospital. Physical examination: body temperature 38.8 ℃, breathing 40 times per minute, conscious, irritability, dyspnea, dry skin and mucous membranes, mucus secretions in the mouth more, Ⅱ tonsil two swollen, unclear language, head back Yang, nose fan, three concave sign positive, two lungs have a small amount of dry rales. Diagnosis: ① acute tonsillitis, ② acute bronchitis, ③ dehydration acidosis. To oxygen, antibiotics, infusion correction and other comprehensive treatment did not improve. 5 small