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1 病例摘要 患儿,男,12岁。因咳嗽10余天,下行性浮肿伴尿少1周,面色苍白发绀3h入院。入院时详细询问病史,还发现10余年来一直不会说话、反应迟钝、智力低下,视力极差,摸索着行走。体检:T 36℃,心率120min~(-1),R 32rain~(-1),BPO/OkPa,发育迟缓,营养中等,神志尚清,呼吸稍促,节律规则。双侧瞳孔扩大约5mm,对光反射消失。颜面苍白,轻度浮肿。口唇发绀,双肺可闻及细湿性啰音;心率快,心音低钝。肝脾不大,双下肢轻度非凹
1 case summary Children, male, 12 years old. More than 10 days due to cough, descending swollen with less urine for 1 week, pale cyanosis 3h admission. When asked to hospital history in detail, but also found that more than 10 years has been unable to speak, unresponsive, mental retardation, poor vision, groping and walking. Physical examination: T 36 ℃, heart rate 120min ~ (-1), R 32rain ~ (-1), BPO / OkPa, stunted, moderate nutrition, clear consciousness, shortness of breath, rhythm rules. Both sides of the pupil dilated about 5mm, the light reflection disappeared. Pale face, mild edema. Lips cyanosis, lungs can be heard and fine wet rales; fast heart rate, low heart sound blunt. Liver and spleen is not large, mild non-concave lower limbs