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1病例资料患儿男,4岁,2013年1月22日因“咳嗽3d,发热1d”入院。体检:T37℃,R22次/min,P92次/min,BP101/67mmHg,咽充血,扁桃体无肿大,双肺呼吸音粗糙,右肺可闻及湿性哕音。肺部CT示:双肺感染。血常规:WBC12.73×10~9·L~(-1),N58.14%,RBC 3.7×10~(12)·L~(-1)。否认药物及食物过敏史、哮喘病史。诊断:支气管肺炎。给予头孢吡肟抗感染,痰热清注射液清热、解毒、化痰,氨溴索注射液祛痰,补充维生素C等对症支持治疗。1月23~25日患儿夜间反复高热,体温最高达40.2℃,且进食量小。1月26日晨体检:T
1 case data children male, 4 years old, January 22, 2013 due to “cough 3d, fever 1d ” admission. Physical examination: T37 ℃, R22 times / min, P92 times / min, BP101 / 67mmHg, pharyngeal congestion, tonsil enlargement, lung breath sounds rough, right lung can smell and wet 哕 sound. Lung CT showed: double lung infection. Blood: WBC12.73 × 10 ~ 9 · L ~ (-1), N58.14%, RBC 3.7 × 10 ~ (12) · L ~ (-1). Denied the history of drug and food allergies, asthma. Diagnosis: Bronchial pneumonia. Give cefepime anti-infective, Tanreqing injection heat, detoxification, phlegm, ambroxol injection expectorant, vitamin C and other symptomatic and supportive treatment. January 23 ~ 25 children with repeated high fever at night, body temperature up to 40.2 ℃, and a small amount of food intake. January 26 morning examination: T