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例1,女,1岁。因咳嗽一周,发烧、喘两天,以肺炎住院。查体:呼吸促,无三凹征,无发绀,双肺散在干鸣及少许中水泡音。胸片双肺纹理增强,右心膈角处有密度增浓片状阴影,对侧透光度增强。经抗炎治疗,热退。于住院第3天一阵阵呛咳、烦躁、气急。胸透:右肺下叶不张,对侧透光度增强,气管及纵隔轻度右移。追问病史10天前曾有过呛咳。转五官科从右支气管取出半颗黄豆粒。例2,男,4岁。反复咳嗽,偶而发烧半年。查体:T38.0℃,呼吸略促,左背中下野呼吸音减弱,叩诊浊音。胸透:右肺下叶大片状阴影,肋膈角模糊。以大叶性肺炎、脓胸住院。追问病初无发烧、胸疼、血痰病史。经抗炎治疗,病情时轻时重,病程中经常出现呛咳,疑似支气管异物,转五官科,从右支气管取出一眼药水瓶胶盖。
Example 1, female, 1 year old. Due to cough for a week, fever, asthma two days, hospitalized with pneumonia. Physical examination: shortness of breath, no three concave sign, no cyanosis, lungs scattered in the dry Ming and a little bubble in the water. Chest double lung texture enhancement, right ventricular phrenic density density thickening sheet shadow, contralateral transmittance increased. Anti-inflammatory treatment, hot retreat. In the 3rd day of hospital cough, irritability, shortness of breath. Chest thoracotomy: the right lower lobe atelectasis, contralateral transmittance increased trachea and mediastinal mild right shift. Question history 10 days ago had cough. Turn ENT remove half a bean from the right bronchus. Example 2, male, 4 years old. Repeated cough, and sometimes fever for six months. Physical examination: T38.0 ℃, breathing a little urgency, left back in the wild breath sounds weakened, percussion dullness. Chest throat: a large shadow of the lower right lung lobe, costophrenic angle blurred. To lobar pneumonia, empyema hospitalized. Asked the early no fever, chest pain, bloody sputum history. After anti-inflammatory treatment, when the disease light weight, the course of cough, cough suspected, suspected bronchial foreign body, turn ENT, remove the eye from the right bronchial bottle lid.