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1病历摘要女,4岁。主因发热伴咳嗽5 d入院。查体:T 39℃,P 120次/min,R 36次/min。神志清,反应弱,呼吸平稳无紫绀及三凹征。咽充血,左上臂卡疤阳性,双肺呼吸音粗,可闻及少量水泡音,心腹及神经系统检查未见异常。入院后查肺X线片示:左上肺密度增高阴影。血常规白细胞不高,以中性
1 medical record summary female, 4 years old. The main cause of fever with cough 5 d admission. Examination: T 39 ℃, P 120 times / min, R 36 times / min. Conscious, weak response, smooth breathing without cyanosis and three depression sign. Pharyngeal hyperemia, left upper arm card scar positive, lung breath sounds thick, can be heard and a small amount of blisters sound, confocal and nervous system examination showed no abnormalities. After admission, check the X-ray film showed: the left upper lung density increased shadow. Blood is not high white blood cells to neutral