病历摘要患儿男，3岁。咳嗽3天，发热、气喘1天。近3天无明显诱因阵发性咳嗽，无痰及回声。服螺旋霉素治疗2天，效差，近1天发热，体温38℃左右，伴气喘、呼吸困难，能平卧。既往健康。家族无遗传疾病史。查体：T37．5℃，R52次。神清，呼吸促，口周发绀。浅麦淋巴结无肿大。颈 Summary of medical records Children male, 3 years old. Cough for 3 days, fever, asthma 1 day. No obvious incentive for the past 3 days paroxysmal cough, sputum and echo. Spiramycin therapy for 2 days, poor effect, nearly 1 day fever, body temperature about 38 ℃, with asthma, difficulty breathing, can lie down. Past health. Family history of no genetic disease. Physical examination: T37.5 ℃, R52 times. Clear, breathing, oral cyanosis. Light wheat lymph nodes without swelling. neck