患儿,男,2岁,因呼吸困难、口唇紫绀、呛咳、发热、烟躁不安20小时入院。体检:体温38.5℃,呼吸60次/分,有明显的“三凹”征。两肺有喘鸣音,腹胀。化验:白细胞13000/立方毫米,中性粒细胞65％,淋巴细胞32％,嗜酸性粒细胞3％。诊断:“重度支气管哮喘持续状态”。入院后应用肾上腺素、氨茶碱、激素、抗生素。3小时后呼吸困难仍无任何改善,神志恍惚,时有痉挛性抽搐。追问病史,发病前曾吃过熟黄豆,故疑为气管异物请五官科医 Children, male, 2 years old, due to breathing difficulties, cyanosis of the lips, cough, fever, restlessness 20 hours admitted to hospital. Physical examination: body temperature 38.5 ℃, breathing 60 beats / min, a clear “three concave” sign. Two lungs have wheezing, abdominal distension. Laboratory tests: WBC 13000 / mm3, neutrophils 65%, lymphocytes 32%, eosinophils 3%. Diagnosis: “Severe bronchial asthma persistence”. After admission adrenaline, aminophylline, hormones, antibiotics. After 3 hours still no improvement in dyspnea, trance, sometimes spasmodic convulsions. Asked history, before eating eaten cooked soybeans, it is suspected tracheal foreign body please organ