一、病例介绍 患儿邱永佳,男,1岁半,自1986年10月9日起发热,咳嗽、气促。10月17日前述症状加重,伴烦躁不安和轻度抽搐,呕吐数次,咳出带血性氮。18日上午四时就诊于宜春医专一附院儿科。患儿以往无特殊病史。 1、查体:体温39℃,脉博160次/分。呼吸60次/分,口唇及四肢末端紫绀,瞳孔正常大小,颈软,心率168次/分。在胸骨偏左第四,五助间闻及Ⅱ级收缩期杂音,双肺闻及干性罗音、哮呜音、左肺还闻及少许湿 First, the case presentation Children Qiu Yongjia, male, 1 year and a half, since October 9, 1986 fever, cough, shortness of breath. October 17 The above symptoms worsened, with irritability and mild convulsions, vomiting several times, cough bloody nitrogen. At 18 o’clock on the 18th attended the Yichun Medical College with a pediatric. Children in the past no special history. 1, physical examination: body temperature 39 ℃, Pulse Bo 160 times / min. Breathe 60 beats / min, end of the lips and extremities cyanosis, normal pupil size, neck soft, heart rate 168 beats / min. Left in the sternal fourth, fifth aid between smell and Ⅱ systolic murmur, lung smell and dry rales, asthma arousal, the left lung also smell and a little wet