患儿 ,男 ,3.5ａ,因咳嗽 2周伴发热乏力 3ｄ入院。查体 :体温 36 .5℃ ,呼吸 32次 /ｍｉｎ ,脉搏 130次 /ｍｉｎ ,ＢＰ 11/ 7ｋＰａ。精神反应好 ,咽充血 ,双侧扁桃体无肿大 ,两肺呼吸音粗 ,心率 130次 /ｍｉｎ ,律齐 ,心音有力 ,可闻及第一、二心音分裂 ,未闻及杂音。肝脾不大 Children, male, 3.5a, due to cough 2 weeks with fever and fatigue hospitalization. Examination: body temperature 36.5 ℃, breathing 32 beats / min, pulse 130 beats / min, BP 11 / 7kPa. Mental reactions, pharyngeal congestion, bilateral tonsil no swollen, two lungs breath sounds crude, heart rate 130 beats / min, law Qi, heart sound powerful, can be heard and the first, two heart sound split, no smell and noise. Small spleen and liver