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患儿,男,5岁。因发烧、咳嗽2天,呼吸困难4小时入院。既往有哮喘病史。查体;体温38.5℃,呼吸39次,脉搏160次。端坐呼吸,鼻翼扇动,口唇发绀,三凹现象明显,皮肤出凉汗,两肺广闻干性罗音,双下肺有中小水泡音,心界叩诊不大,心率160次,心音低钝。腹软,肝在肋下2.5cm触及。白细胞13.6×10~9/L。诊断:支气管哮喘,两下肺炎并心力衰竭。经输氧、、平喘、抗过敏、强心、利尿、抗感染等治疗48小时,
Children, male, 5 years old. Due to fever, cough for 2 days, difficulty breathing 4 hours admission. Past history of asthma. Physical examination; body temperature 38.5 ℃, breathing 39 times, pulse 160 times. Sitting breathing, nose flap, lips cyanosis, three concave phenomenon is obvious, the skin out of cold and sweat, both lung wide dry rales, double small lungs have small blisters sound, heart percussion small, heart rate 160 times, low heart sound . Abdominal soft, liver 2.5cm in the ribs touched. White blood cells 13.6 × 10 ~ 9 / L. Diagnosis: Bronchial asthma, two pneumonia and heart failure. The oxygen, asthma, anti-allergy, cardiac, diuretic, anti-infection treatment for 48 hours,