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患儿男,2个月。因咳嗽10余天,发热5天,近2天加重入院。体格检查:精神尚好,阵阵烦躁哭闹、口周稍青、浅表淋巴结不大,咽红,呼吸72次/分,双肺散在喘鸣音及中小水泡音。心界不大,心率140次/分,律齐,心音有力。腹软,肝肋下1.5厘米,剑下2厘米。方颅,轻度肋缘外翻。化验检查:血钙8.6～10毫克％,磷3.8～5.2毫克％,碱性磷酸酶282～525单位/升。胸片示两上肺野纹理增粗,右上纵隔影增宽,考虑为胸腺影。腕骨像示左尺骨先期钙化带模糊变薄。入院诊断:喘型肺炎,佝偻病,胸腺肥大。
Children male, 2 months. Due to cough for more than 10 days, fever 5 days, nearly 2 days increased admission. Physical examination: the spirit is still good, bursts of irritability crying, mouth slightly younger, superficial lymph nodes, throat, breathing 72 beats / min, lungs scattered wheeze and small blisters sound. Heart is small, heart rate 140 beats / min, law Qi, heart sound powerful. Abdomen soft, liver ribs 1.5 cm, sword 2 cm. Square cranial, mild rib margin valgus. Laboratory tests: calcium 8.6 ~ 10 mg%, phosphorus 3.8 ~ 5.2 mg%, alkaline phosphatase 282 ~ 525 units / liter. Chest radiography showed two lung field thickening, right upper mediastinum widening, consider thymus shadow. Carpal bone showed early left ulnar calcification with fuzzy thinning. Admission diagnosis: asthma pneumonia, rickets, thymus hypertrophy.