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例1 患者女性,2岁,因发烧、口腔糜烂5天,呼吸困难3天,于1963年11月1日上午入院。检查:体温37.7℃,脉搏112次/分,呼吸32次/分。急性病容,神智清醒,不发绀。悬雍垂及两侧扁桃体上有白色伪膜。吸气时有三凹征,呈二度吸入性呼吸困难。两肺有干性啰音,左肺呼吸音减低。心、腹无异常发现。白细胞22,900,中性80%。咽拭子培养有白喉杆菌生长。诊断为咽喉白喉。入院后给注射青霉素,每日40万单位,肌肉注射白喉抗毒素5万单位,并予补液。下午吸入性呼吸困难加重,心率142次/分,心
Example 1 A female patient, 2 years old, was admitted to the hospital on the morning of 1 November 1963 due to fever, oral erosion for 5 days and dyspnea for 3 days. Check: body temperature 37.7 ℃, pulse 112 beats / min, breathing 32 beats / min. Acute illness, sober, not cyanosis. Uvula and tonsils on both sides of the white pseudomembranous. Inspiratory have three concave sign, was second-degree inhaled breathing difficulties. Both lungs have a dry rales, reduced left lung breath sounds. Heart, abdomen without exception found. WBC 22,900, Neutral 80%. Throat swab cultures have diphtheria bacilli growth. Diagnosis of throat diphtheria. After admission to penicillin injection, 400,000 units a day, intramuscular injection of diphtheria antitoxin 50,000 units, and to rehydration. Afternoon inhaled dyspnea increased heart rate 142 beats / min, heart