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病历摘要患儿女,1岁4个月,主因“间断咳嗽喘息10个月”入院。患儿于入院前10个月无明显诱因出现流涕、咳嗽,伴轻度喘息,于当地诊所抗感染治疗两周后症状缓解。其后4个月,每间隔20 d 左右,咳嗽,喘息发作约1周,夜间入睡后及进食、哭闹时加重,喘息不重,有痰,难咯出,可平卧,无憋气、发绀、呛咳及发热,予中药、抗生素治疗并理疗,症状可好转;入院前3个月患儿痰量明显增多,2个月前食用葵花子后咳嗽、喘息加重,但无明显呛咳及憋气,在当地医院胸 X 线片
Medical records with children, 1 year and 4 months, mainly due to “intermittent cough wheezing 10 months ” admission. Children with runny nose, cough, mild wheezing and no symptoms at 10 months prior to admission were relieved at local clinic for two weeks after anti-infective treatment. The next 4 months, every interval of about 20 d, cough, wheezing about 1 week, night after falling asleep and eating, increased crying, wheezing is not heavy, sputum, hard to make out, supine, without suffocation, cyanosis , Cough and fever, to Chinese medicine, antibiotic treatment and physical therapy, the symptoms can be improved; 3 months before admission, children with sputum increased significantly, 2 months before eating sunflower seeds after coughing, wheezing aggravated, but no obvious cough and suffocation, Chest X-ray at local hospital