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患儿,女,3岁,于1991年11月4日因声嘶,气促4天,症状加重10小时来诊。患儿于10月26日感冒,当时出现咽痛,发热38℃,在当地医院治疗后好转,10月30日,其父母将患儿送上幼儿园,在幼儿园曾吃过瓜子,但无呛咳,晚上回家后出现声嘶,气促。送入当地医院,即予静脉点滴青霉素,地塞米松治疗,但病情逐渐恶化,拒食,嗜睡11月4日上午11时病儿失声,气促明显加重,轻度发绀,当日晚上9时,神志不清,烦燥,抽搐。在当地医院照X光胸片检查,发现右上肺不张,拟支气管异物转我院急诊。患儿既往均无特殊,但未能按时接种。
Children, female, 3 years old, on November 4, 1991 due to hoarseness, shortness of breath 4 days, the symptoms increased 10 hours to the clinic. The patient had a cold on Oct. 26, with sore throat and fever of 38 degrees Celsius, which improved after treatment at a local hospital. On October 30, her parents sent the children to kindergarten, but had no seeds in kindergarten After going home at night hoarseness, shortness of breath. Sent to the local hospital, that is, intravenous infusion of penicillin and dexamethasone, but the disease deteriorated, refused to eat, lethargy at 11 o’clock on the November 4 sick child a sound, increased gas was significantly increased, mild cyanosis, the same day at 9 pm, Unclear, irritable, convulsions. In the local hospital according to X-ray examination and found that the right upper lung atelectasis, bronchial foreign body to be transferred to our hospital emergency room. Children with no special past, but failed to vaccinate on time.