病历摘要:患者女,3岁,4天前精神不振,渐渐气促声嘶,烦躁不安,但无发热,昨日起不能进食,呕吐数次为胃内容物。过去有气管炎及常发呕吐历史,当地医院以肺炎治疗无效而转诊。检查:患儿精神萎靡,气促甚剧,三凹症明显,咽潮红,未见假膜,两肺听诊呼吸音粗糙,心率 Medical history Abstract: Female, 3 years old, 4 days ago, lack of energy, and gradually promote hoarseness, irritability, but no fever, can not eat yesterday, vomiting several times for the stomach contents. In the past, there was a history of bronchitis and vomiting. The local hospital referred for invalid treatment of pneumonia. Check: Children with apathetic, shortness of breath and dramatic, significant three concave, throat flushing, no pseudomembranous, lung auscultation respiratory sound rough, heart rate