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前不久,我参加了一次市医专附属医院儿科疑难病例会诊。患儿主要症状为发高烧、频咳、呼吸困难等肺炎征象,已在市内某医院应用抗生素治疗了7天,但疗效不佳。问诊时,家长说孩子平素体质弱,出生后几乎每个月都要生病一次,且治愈时间比别的孩子要长。这次又患上严重感染(肺炎合并败血症),会诊时我建议查一查孩子的免疫功能,结果提示这孩子患有严重的联合免疫缺陷病。后来,虽经医院全力抢救,但这孩子最终还是夭折了。确实,在儿科门诊中经常有家长询问,为什
Not long ago, I participated in a pediatric hospital clinics difficult case consultation. The main symptoms of children with high fever, frequent cough, difficulty breathing and other signs of pneumonia, antibiotics have been used in a hospital in the city for 7 days, but the curative effect is not good. At the time of the visit, the parents said that the child usually has a weak constitution and becomes ill almost once a month after birth, and the healing time is longer than that of other children. This time with a serious infection (pneumonia with sepsis), consultation, I recommend checking the child’s immune function check, the results suggest that the child has a severe combined immunodeficiency disease. Later, despite the full rescue by the hospital, but the child eventually died. Indeed, parents often ask in pediatric clinics why