论文部分内容阅读
患儿女,4岁。因阵发性干咳、气喘3年,发热10天入院。患儿于3年前因受凉后出现阵发性干咳,每日发作5～6次。受凉或冬季发作频繁伴气喘,有时伴少量白粘痰、进行性呼吸困难,发作时不能平卧。曾在县、乡镇医院诊断为百日咳,给予激素、抗生素等治疗无效。近10天病情复发,且伴发热。家族史无异常。查体:T37.4℃,P120次/min,R42次/min,Bp11/6kPa,体重12kg。呼吸急促,口唇紫绀,双肺底可闻及细小、高调的中小水泡音。可见杵状指(趾),病理反射阴性。化验:Hb80g/L,RBC2.5×10~(12)/L,WBC22.8×10~9/L,N0.83,E0.01,L0.14,M0.02,ESR15mm/h;EC0.40×10~9/L,Ch40mmol/L,BUN3.5mmol/L;类风湿因子及冷球蛋白阳性,冷凝集试验阴性,细胞及体液免疫正常。肝功ZnTT10.4U,HAA阴性;尿及痰中含
Children with children, 4 years old. Due to paroxysmal dry cough, asthma 3 years, 10 days admitted to hospital. Children with paroxysmal dry cough 3 years ago due to cold, a daily attack 5 to 6 times. Cold or winter episodes frequently accompanied by asthma, sometimes accompanied by a small amount of white phlegm, progressive dyspnea, seizures can not supine. In the county, township hospitals diagnosed as whooping cough, give hormones, antibiotics and other treatment is invalid. Recurrence of the past 10 days, and with fever. No abnormal family history. Physical examination: T37.4 ℃, P120 times / min, R42 times / min, Bp11 / 6kPa, weight 12kg. Shortness of breath, cyanosis of the lips, both lungs can be heard and small, high-profile small and medium blisters sound. Clubbing can be seen (toe), negative pathological reflex. Laboratory: Hb80g / L, RBC2.5 × 10-12 / L, WBC22.8 × 10 ~ 9/L, N0.83,E0.01,L0.14,M0.02,ESR15mm/h;EC0. 40 × 10 ~ 9 / L, Ch40mmol / L, BUN3.5mmol / L; rheumatoid factor and cryoglobulins positive, cold agglutination test negative, normal cellular and humoral immunity. Liver function ZnTT10.4U, HAA negative; urine and sputum containing