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患儿,女,8个月。因发热、咳嗽、气紧3天,于1978年4月12日由公社卫生院转来本院。系第2胎第2产,足月顺产,出生后情况一直良好。入院前3天发热,咳嗽,气促,口唇发绀,逐渐加重。体检:体温38.8℃,咏搏178,呼吸64。发育营养情况尚可,躁动不安,鼻翼掮动,口唇发绀,轻度三凹征。前囟未闭,无膨隆及凹陷。颈软,皮肤巩膜未见黄染。右侧胸廓稍高于左侧,左心界未能叩出,右心
Children, women, 8 months. Due to fever, cough, tight gas 3 days, on April 12, 1978 by the commune to the hospital. Department of the second line of the second production, full-term delivery, the situation has been good after birth. 3 days before admission fever, cough, shortness of breath, cyanosis of the lips, and gradually increased. Physical examination: body temperature 38.8 ℃, Wing stroke 178, breathing 64. Development of nutritional status is acceptable, restless, the nose move, lips cyanosis, mild three concave sign. Anterior fontanel not closed, no swelling and depression. Neck soft, sclera skin no yellow dye. Right chest slightly higher than the left side of the left heart bound failed to knock out the right heart