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1 病例:2例年龄8个月～1岁。咳喘1天,当地医院按支气管肺炎治疗。入本院时体检:T 36.5～37℃,P 130～160次/min,R 28次/分,两肺散在性干湿罗音,肝肋下2cm,反射无异常。WBC(9～9.8)×10~/L,N 0.68～0.75,L 0.25～0.30.E 0.02。拟诊为支气管肺炎,另1例还诊断为并发心衰、急性肺水肿。2例皆予抗感染,另1例给强心、利尿、吸氧等治疗。20min后,气喘加剧,口鼻溢出血沫,紫绀,多汗,两肺布满湿罗音,瞳孔缩小至1mm。追问病人才查
1 case: 2 patients aged 8 months to 1 year old. Cough 1 day, local hospital treatment by bronchial pneumonia. Physical examination at admission to our hospital: T 36.5 ~ 37 ℃, P 130 ~ 160 beats / min, R 28 beats / min, both lung scattered dry and wet rales, liver ribs 2cm, no abnormal reflex. WBC (9 ~ 9.8) × 10 ~ / L, N 0.68 ~ 0.75, L 0.25 ~ 0.30.E 0.02. To be diagnosed as bronchial pneumonia, another case also diagnosed with concurrent heart failure, acute pulmonary edema. 2 cases were anti-infective, the other one to cardiac, diuretic, oxygen and other treatment. After 20min, asthma exacerbated, mouth and nose overflow Xuemo, cyanosis, sweating, lungs covered with wet rales, the pupil narrowed to 1mm. Ask patients to check