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患儿,女,4个月。因发热腹泻3天,气急、拒食1天于1993年5月18日急诊入院。否认有咽喉部异物和外伤史。入院时体检:一般情况差,精神萎靡,面色苍白,呼吸困难,口唇紫绀。体温38℃,呼吸35次/min,心率200次/min,律齐。双肺呼吸音粗,散在湿罗音。肝肋下4cm,剑下2cm。脾肋下1cm,咽部充血明显,左侧口底部抬高水肿,间接喉镜检查无法进行。左侧颌下及颈部肿胀,触痛明显,无波动感。胸片及颈侧位片示:双肺纹增粗,左侧咽后壁及颈部软组织影增宽。血常规:WBC2.3×10~9/L,N 80%,L18%,E 2%,RBC 4.0×10~(12)/L,入院诊断为咽周间
Children, women, 4 months. 3 days due to fever diarrhea, shortness of breath, antifeedant 1 day in May 18, 1993 emergency admission. Denied the history of foreign body throat and trauma. Physical examination on admission: poor general condition, apathetic, pale, trouble breathing, cyanotic lips. Body temperature 38 ℃, breathing 35 times / min, heart rate 200 beats / min, law Qi. Breath sounds coarse lungs, scattered in the wet rales. Liver ribs 4cm, sword 2cm. Spleen ribs 1cm, pharyngeal congestion was obvious, the left side of the mouth elevation edema, indirect laryngoscopy can not be performed. Left submandibular and neck swelling, tenderness, no fluctuations. Chest radiograph and neck lateral radiograph showed: double lung pattern thickened, the left pharyngeal wall and neck soft tissue shadow broadening. Blood routine: WBC 2.3 × 10 ~ 9 / L, N 80%, L 18%, E 2%, RBC 4.0 × 10 ~ (12) / L,