论文部分内容阅读
患儿女,9岁,因受凉发烧,咳嗽咽痛,头昏,口渴食少,体重逐日下降,精神萎糜,尿少色黄,便干结而入院。既往否认结核、肝炎、肾炎、糖尿病史。检查:体温38.8℃,呼吸26次/分,脉搏116次/分,血压8.0/5.3kPa,体重19kg,神志清醒,面黄肌瘦,呈恶病质。检查合作,皮肤干燥,弹性差,咽充血(+),双侧扁挑体Ⅱ°大,咽反射敏感,颈无抵抗,心肺(一),肝肋下可触及1cm,脾(一),神经系统检查无异常。化验:血常规:Hb 2.2mmol/L,WBC25.0×10~9/L,N82%,L16%,E2%。尿常规:蛋白++,RBC1—3,透明管型0—2,颗粒管型0—1。尚未开始任何治疗,患儿感口干欲饮水,其母抱在胸前喂温开水数口,量约30ml,立即出现呛咳不
Children, aged 9, due to cold and fever, cough and sore throat, dizziness, thirst eats less, weight loss day by day, spiritual wilt, urine less yellow, they dry knot and hospitalization. Past deny tuberculosis, hepatitis, nephritis, history of diabetes. Check: body temperature 38.8 ℃, breathing 26 beats / min, pulse 116 beats / min, blood pressure 8.0 / 5.3kPa, weight 19kg, conscious, pale and pale, was cachexia. Check cooperation, dry skin, poor elasticity, pharyngeal congestion (+), bilateral Bipanca body Ⅱ ° large, pharyngeal reflex sensitivity, cervical non-resistance, heart and lung (a), liver ribs can reach 1cm, spleen No abnormal system check. Laboratory tests: blood: Hb 2.2mmol / L, WBC25.0 × 10 ~ 9 / L, N82%, L16%, E2%. Urine routine: protein ++, RBC1-3, 0-2 transparent tube, granular tube 0-1. Has not yet started any treatment, children with dry mouth feel drinking water, the mother hold in the chest to warm water several mouth, the amount of about 30ml, immediately cough does not appear