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例1,男性,11岁,某乡寄宿学校学生。以腹痛、腹泻、发热3天为主诉于1998年12月1日下午2时以急性胃肠炎收住院。查体:T:36.6°,R:21次/min,P:80次/min,BP:120/80 mmHg,精神差扶入病房,全身皮肤轻度潮湿,双肺呼吸音粗,双肺底部少量散在湿性罗音,心音可未闻及杂音。剑下、脐周、左下腹肌卫(±),压痛(++),肠鸣音活跃,移动性浊音(-),Hb:135g/L,WBC:12.6×10~9/L,N:70%,L:30%。胸部 X线拍片报告:左肺门高度浓密斑片状阴影。入院诊断:(1)急性胃肠炎;(2)左肺结核待除外。给予抗菌、抗结核、补液、补充电解质治疗后精神无明显好转。次晨8时30分查房,发现患儿病情加重呈嗜睡
Example 1, male, 11 years old, a township boarding school student. To abdominal pain, diarrhea, fever-based 3-day complaint on December 1, 1998 at 2 pm for admission to hospital with acute gastroenteritis. Physical examination: T: 36.6 °, R: 21 times / min, P: 80 times / min, BP: 120/80 mmHg, the spirit of the poor into the ward, mild body wet skin, A small amount of scattered wet rales, heart sounds can not be heard and noise. (±), tenderness (++), active bowel sounds, shifting dullness (-), Hb: 135g / L, WBC: 12.6 × 10 ~ 9 / L, 70%, L: 30%. Chest X-ray film report: the left hilum height patchy shadows. Admission diagnosis: (1) acute gastroenteritis; (2) left lung tuberculosis to be excluded. Give antibacterial, anti-TB, rehydration, electrolyte supplementation after no significant improvement in the spirit. The next morning at 8:30 rounds and found that children with aggravating drowsiness