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梁某,女,一岁零五个月,住院号40287,住院时间1992年8月20日,家住广东南海县农村。 主诉:持续发热二个月。 患儿于6月中旬起无明显诱因发热,体温波动于38℃至39℃之间,曾在当地医院治疗未效,十日前因受凉而流涕咳嗽、渐多痰气促、发热加重,体温持续在39℃左右,遂来本院门诊求治,拟“支肺炎”收住入院,经抗菌素及能量合剂等滴注一周后咳喘缓解,但发热仍不退,故请中医会诊。当时症见:患儿头胸灼热,神疲,虚烦不眠,渴饮纳呆,肢冷多汗,大便溏薄,查体:体温38.8℃,心率112次/分,律齐无杂音,仅双肺呼吸音较粗,未闻罗音,胸腹触诊无阳性体征,面青无华,四肢厥冷,唇舌色谈,苔白簿,指纹淡红隐现。实
Liang, female, one year and five months old, hospital number 40287, hospitalization August 20, 1992, who lives in rural Guangdong Nanhai County. Chief complaint: continued fever for two months. Children in mid-June since no obvious incentive to fever, body temperature fluctuations between 38 ℃ to 39 ℃, had failed treatment in the local hospital, ten days ago due to cold and runny nose, cough, more phlegm, fever, body temperature continued About 39 ℃, then came to our hospital for treatment, to be “admitted pneumonia” admitted to hospital, antibiotic and energy mixture drops and other cough and asthma relief after a week, but the fever is still not refundable, so the Chinese consultation. At that time symptoms see: children with head and chest burning, fatigue, sleeplessness, thirsty, poor appetite, cold stool, thin stool, examination: body temperature 38.8 ℃, heart rate 112 beats / min, law Qi without noise, only Breathing sounds thick lungs, did not hear rales, chest and abdomen palpation no positive signs, face green, limbs Jueleng, lip gloss color, moss white book, fingerprints faint red looming. real