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1病例资料患儿,男,2007年4月20日出生。因流涕、咽痛于2010年3月10日就诊。查体:T 38.5℃,咽部充血,扁桃体肿大,左肺少量湿性啰音,右肺呼吸声粗,无湿性啰音,腹平软。诊断:小儿支气管炎。既往无青霉素过敏史,给予头孢哌酮钠2 g加入0.9%氯化钠注射液150 rnl,ivd,qd;对乙酰氨基酚混悬液3 ml,po。嘱家长给患儿多饮水,若持续发热,可间隔4~6h重复用药一次。2010年3月15日来院复诊,查体:T
1 case information in children, male, born April 20, 2007. Due to runny nose, sore throat on March 10, 2010 treatment. Examination: T 38.5 ℃, throat congestion, tonsil enlargement, a small amount of wet left lung rales, right lung breathing sound coarse, no wet rales, abdominal soft. Diagnosis: Pediatric bronchitis. Past history without penicillin allergy, given cefoperazone sodium 2 g 0.9% sodium chloride injection 150 rnl, ivd, qd; paracetamol suspension 3 ml, po. Told parents to children with more water, if sustained fever can be repeated 4 ~ 6h medication once. March 15, 2010 to hospital referral, physical examination: T