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病历摘要患儿黄××,男,5岁,于7天前开始发热伴鼻塞、打嚏涕,2天后家人发现小儿眼睑浮肿,近2天来浮肿逐渐加重并涉及全身,伴气促、尿少。于1970年9月9日18时30分诊断为急性肾炎并心力衰竭急诊入院。体格检查:T37.5℃,P140,R40,BP160/100,体重16kg。全身明显浮肿,前胸及四肢均可见疱样皮疹,咽红,扁桃体肿大,双肺可闻散在性干湿性啰音;心率140次,律齐,未闻杂音,腹膨隆,腹水征(+),肝肋下4.5cm,脾未触及,下肢浮肿,阴囊明显浮肿,尿常规检查:蛋白(++),白细胞管型(0～2/Hp),颗粒管型(0～2/Hp)。住院经过:入院后即肌注利血平0.5mg,洋地黄毒甙0.2mg。此后隔4小时注射洋地黄毒甙0.1mg,连续3次,并用青霉素等治疗,至9月10日上午9
Medical records Abstract Child × ×, male, 5 years old, 7 days ago began to fever with nasal congestion, sneeze, 2 days after the discovery of pediatric eyelid edema, edema in the past two days and gradually increased and involving the body, with shortness of breath, urinary less. At 18:30 on September 9, 1970 at the diagnosis of acute nephritis and heart failure emergency admission. Physical examination: T37.5 ℃, P140, R40, BP160 / 100, weight 16kg. Systemic edema, blister-like rash on the chest and limbs, throat redness, tonsil enlargement, lungs scattered in sexual dry wet rales; heart rate 140 times, law Qi, unheard noise, abdominal bulging, signs of ascites +), Liver under the ribs 4.5cm, spleen not touched, lower extremity edema, scrotal swelling, urine routine examination: protein (++), white blood cell tube (0 ~ 2 / Hp), granular tube (0 ~ 2 / Hp ). After hospitalization: intramuscular injection of reserpine 0.5mg, digoxin 0.4mg. Subsequent 4 hours after injection of digoxin 0.4mg, 3 times in a row, and with penicillin and other treatment, to September 10 at 9 am