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小儿塑型性支气管炎一例 被引量:1

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摘要 患儿,男,5岁,因“咳嗽3d,气促1d”拟诊为“支气管肺炎”收入普通病房。入院时气促、低热,否认有异物吸入史。右肺呼吸音稍低于左肺。血常规:WBC6.25×10^9/L,N0.72,L0.21,Hb148g/L,PLT354×10^9/L。胸部X线透视未见纵隔摆动,X线胸片提示右肺内带小片状密度增高影。予以盲端鼻导管吸氧、翻身拍背吸痰、雾化、抗感染等治疗。1d后病情未见改善,且呼吸困难呈进行性加重,立即转入ICU。再次检查X线胸片,提示右侧肺野致密影(较前有进展),左肺代偿性气肿。血气分析提示低氧血症,鼻塞式持续正压吸氧后病情仍不能缓解。
作者 周兆群
出处 《中国小儿急救医学》 CAS 2007年第2期176-176,共1页 Chinese Pediatric Emergency Medicine
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