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例1女,2岁。因发热伴咳喘4天入院。查体:呼吸略急促,三凹症,双肺听诊呼吸音粗糙。X线胸透示双肺纹理粗乱,沿肺纹理示斑片状阴影。入院诊断为支气管肺炎。给予抗炎及对症治疗,咳喘无明显缓解。入院后第14天听诊左侧肺部呼吸音减低。X线摄片示右侧肺纹理粗乱,斑片病灶融合,左侧肺透明度增强,心膈角模糊,纵隔摆动,意见为左侧支气管异物。经气管镜下取出大米粒大小碎花生米1枚,后经抗炎治疗,痊愈出院。 例2女,3岁。因咳嗽3个月加重5天入院。曾于病后1周在外院诊为支气管肺炎住院治疗,好转出院。出院后仍有反复咳嗽。查体:呼吸平顺,无紫绀及三凹症。双肺闻及干性罗音及中小水泡音,左侧较轻。X线胸透示右肺纹理粗乱,诊为支气管肺炎。经抗炎及对症治疗无好转,且呛咳较
Example 1 female, 2 years old. Due to fever with cough 4 days admission. Examination: Shortness of breath slightly, three concave disease, lung auscultation respiratory sounds rough. Chest X-ray showed coarse lung texture disorder, along the lungs showed patchy shadows. Admitted to diagnosed bronchial pneumonia. Given anti-inflammatory and symptomatic treatment, cough and no significant relief. On the fourteenth day after admission, the auscultation of the left lung decreased. X-ray showed the right lung texture rough chaos, patch fusion, increased left lung transparency, blurred phrenic angle, mediastinal swing, the views of the left bronchial foreign body. Tracheoscope removed the size of rice grain broken peanuts 1, after anti-inflammatory treatment, discharged. Example 2 female, 3 years old. Due to cough 3 months to increase 5 days admission. One week after the illness was diagnosed as bronchial pneumonia in the outpatient hospital, improved discharge. Repeated cough after discharge from hospital. Physical examination: smooth breathing, no cyanosis and three concave disease. Lung smell and dry rales and small blisters sound, left lighter. X-ray showed right lung texture rough chaos, diagnosed as bronchial pneumonia. Anti-inflammatory and symptomatic treatment without improvement, and cough more