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患儿女,15天,因阵发性咳嗽、口周青紫2天入院。偶有少量溢乳,无发热。病儿为第一胎、足月顺产。查体:颜面及巩膜轻度黄染,前囟平,口周轻度青紫。两肺呼吸音粗糙,可闻及少量干罗音及大水泡音;心(一)。肝脾无肿大。入院后摄胸片及 B 超发现右胸大量积液。胸穿两次均抽出100 ml 牛奶色液体,涂片脂滴,沉淀后涂片见多量淋巴细胞及间皮细胞,pH 8,乙醚及苏丹Ⅲ试验
Children with children, 15 days, due to paroxysmal cough, bruising 2 days admission. Occasionally a small amount of galactorrhea, no fever. Sick child as the first child, full-term birth. Physical examination: facial and scleral mild yellow dye, the anterior fontanelle, mouth mild bruising. Rough breathing sounds of both lungs, can be heard and a small amount of dry rales and water blisters; Heart (a). No enlargement of liver and spleen. After admission, chest radiography and B ultrasound found a large number of right chest fluid. Thoracentesis were both extracted 100 ml milk liquid, smear lipid droplets, smear see precipitation after a large number of lymphocytes and mesothelial cells, pH 8, ether and Sudan Ⅲ test