1 病例介绍 患儿,男,3岁。入院前三天突然咳嗽气喘,呼吸困难及呕吐。后病情逐渐加重,一天前突然神志不清,口吐多量白沫,面色苍白,诊断为“支气管肺炎”急诊入院。 入院体检:体温37.2℃,脉搏124次/min,呼吸38次/min,血压10.7/8.0kPa,发育正常,营养中等,急性重病容,神志欠清,呼之能应,烦躁不安,双侧瞳孔略有缩小,颜面及口唇轻度发绀,右肺底闻及少许 1 case description Children, male, 3 years old. Sudden cough, asthma, dyspnea and vomiting three days before admission. After the condition gradually aggravated, suddenly unconscious one day ago, vomit a lot of foam, pale, diagnosed as “bronchial pneumonia” emergency admission. Admission physical examination: body temperature 37.2 ℃, pulse 124 beats / min, breathing 38 beats / min, blood pressure 10.7 / 8.0kPa, normal development, moderate nutrition, acute and severe disease, conscious deficiencies, call of the wind, irritability, bilateral pupil Slightly reduced, slightly cyanotic face and lips, right lung smell and a little