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男,2 1/3月,于1991年4月25日急诊入院。患儿出生后30多天出现喉鸣,头颈部活动后呼吸困难逐渐加重,尤以头后仰时明显,垫枕侧卧后缓解。无发热、咳嗽及抽搐。在外给予解痉、抗炎治疗无效转来我院。第二胎,足月平产,母乳喂养。否认家族遗传病史。父母非近亲婚配。体检:T36℃,P110次/分,R48次/分。口唇轻度发绀,鼻翼稍扇动,呼吸时有尖叫声,后仰呼气时更明显。头颅五官正常,前囟2×5cm,张力不高。颈软,气管居中。胸
Male, 21 January / March, was admitted to the emergency department on April 25, 1991. Children with throat after more than 30 days after birth, head and neck activities, breathing difficulties gradually increased, especially when the head back significantly, pillow pillow relieve. No fever, cough and convulsions. To give antispasmodic, anti-inflammatory treatment invalid transfer to our hospital. The second child, full-term, breastfeeding. Denied family history of genetic disease. Parents non-relatives marriage. Physical examination: T36 ℃, P110 times / min, R48 times / min. Mild cyanosis lips, nose a little fan movement, breathing screams, reclining more obvious when exhaled. Normal facial skull, bregma 2 × 5cm, tension is not high. Neck soft, tracheal center. chest