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患儿,女,7个月。因咳嗽、喘憋5天,双眼频繁闭眼2天,于1990年6月24日入院。查体:T36.7℃,P 28次/分,R48次/分,发育正常,营养中等,神志清楚,呼吸急促,面色微绀,双眼频繁闭眼动作,两睑无水肿,结膜无充血及苍白现象,瞳孔等大正圆,光反射敏感。胸廓对称,双肺可闻湿性罗音,心音正常,律齐无杂音。腹平坦,肝剑下2cm,肋下2cm,脾未触及,脊柱四肢未见异常。诊断:小儿肺炎,眼轮匝肌痉挛。入院后给予抗感染治疗,静点红霉素、庆大霉素,给予B族维生素:维生素B_1、B_2、B_(12)。入院2天后,患儿病情明显好转,呼吸平稳,眼轮匝肌痉挛减轻,双肺罗音较入
Children, women, 7 months. Due to cough, wheezing for 5 days, eyes closed eyes 2 days frequently, in June 24, 1990 admission. Examination: T36.7 ℃, P28 beats / min, R48 beats / min, normal development, moderate nutrition, conscious, shortness of breath, looking slightly cyanotic, eyes closed eyes frequently, eyelid edema, conjunctival congestion and no Pale phenomenon, pupils and other Taiyuan, light reflection sensitive. Symmetrical thoracic, lungs can smell wet rales, normal heart sounds, law Qi no noise. Abdomen flat, Liver Sword 2cm, ribs 2cm, spleen not touched, no abnormalities in the spine limbs. Diagnosis: Pediatric pneumonia, orbicularis muscle spasm. After admission to give anti-infective treatment, intravenous erythromycin, gentamicin, given B vitamins: vitamin B_1, B_2, B_ (12). 2 days after admission, the patient’s condition improved significantly, breathing stable, reduce orbicularis muscle spasm, bilateral rales more into