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张×,男3/2岁,因间断咳嗽、发热两个月,眼睑及下肢浮肿一天,于晚八时门诊以“肺炎,肾炎待除外”收入院。查体:体温38.5℃、神志清醒,安静平卧,大汗淋漓,面色苍白,眼睑略浮肿,鼻翼扇动,三凹征(一),口唇略发绀。双肺可闻少量中小水泡音。心脏浊音界轻度增大,心率188次/分,偶闻及早搏,未闻及奔马律及心脏杂音,心音低钝。肝脏肋下5.0cm,剑突下5.0cm,质软。脾脏肋下未触及。双下肢中度浮肿,手足尚暖。门诊查血白细胞13700/
Zhang ×, male 3/2 years old, due to intermittent cough, fever for two months, eyelid and lower extremity edema one day, at 8 o’clock in the evening clinic to “pneumonia, nephritis to be excluded” income hospital. Physical examination: body temperature 38.5 ℃, conscious, quiet and lying, sweating, pale, slightly eyelid edema, nose flap, three concave sign (a), slightly cyanotic lips. Lungs can smell a small amount of small and medium blisters sound. Mild slight increase in the voice of the heart, the heart rate of 188 beats / min, even heard and premature beats, did not hear Benma and heart murmur, low heart sound blunt. Liver ribs 5.0cm, xiphoid 5.0cm, soft. Spleen ribs did not touch. Moderate edema in both lower extremities, hand and foot is still warm. Outpatient check white blood cells 13700 /