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女,5月。因咳嗽、气促3天,紫绀一天,伴抽搐。无发热及呕,哭闹。体查:体温39℃,呼吸14次,不规则;嗜睡,抽搐,唇紫绀。瞳孔等大等圆,对光反应迟钝;颈强直;三凹征阳性;两肺散在湿罗音,心率160次,律齐,无杂音。白细胞2.37×10~9/L,中性粒细胞86％,淋巴细胞14％;血电解质正常;脑脊液正常;CO_2CP20.21mmol/L。诊断支气管肺炎,呼吸衰竭。经给氧、抗炎、纠酸
Female, May. Due to cough, shortness of breath 3 days, cyanosis day, with convulsions. No fever and vomiting, crying. Physical examination: body temperature 39 ℃, breathing 14 times, irregular; lethargy, convulsions, cyanosis. Pupil and other large round, unresponsive to light; neck straight; three concave sign positive; two lung scattered wet rales, heart rate 160 times, law Qi, no noise. Leukocytes 2.37 × 10 ~ 9 / L, neutrophils 86%, lymphocytes 14%; normal blood electrolytes; normal cerebrospinal fluid; CO_2CP20.21mmol / L. Diagnosis of bronchial pneumonia, respiratory failure. After oxygen, anti-inflammatory, correct acid