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1 病历摘要患儿,男,2岁。自出生2个月后反复发热、咳嗽、呛奶,1周前症状加重就诊。体检:神志清楚,营养一般,心脏无畸形。右下肺可闻及中细湿罗音。肝脾不大,神经系统无异常。临床诊断为右下肺感染。X线检查:正侧位胸片示右肺下叶外后基底段见斑片状致密影,边缘稍模糊,其内见含气的囊性阴影。食管钡餐示钡剂经食管下端的异常开口进入右肺下叶的斑片状阴影内,其支气管走行异常,由内下向外上方呈放射状分布并有囊状扩张;钡剂可返回食道内,但与正常的支气管无交通。手术及病理:右肺下叶外后
1 medical record summary children, male, 2 years old. 2 months after birth, repeated fever, cough, choking milk, symptoms increased 1 week ago treatment. Physical examination: Consciousness, general nutrition, heart deformity. The right lower lung can be heard in the wet rales. Small spleen and liver, nervous system no abnormalities. Clinical diagnosis of right lower lung infection. X-ray examination: the lateral chest radiograph shows the right lower lobe of the basal segment outside the see patchy dense shadow, the edge of a little fuzzy, see the cystic shadow inside. Esophageal barium meal barium through the lower end of the esophagus abnormal opening into the lower lobe of the right lung patchy shadow, the bronchial abnormalities from the inside out radially above the radial distribution and cystic dilatation; barium can be returned to the esophagus, But no traffic with the normal bronchus. Surgery and pathology: the right lower lobe after the outside