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例1,患女,4.8岁,因频繁呕吐15d入院。15d前患毛细支气管炎合并心力衰竭于当地医院治疗,咳嗽不见好转,且逐日加重。既往有反复呼吸道感染史。查体:呼吸急促,鼻翼扇动,口唇及鼻根部轻度发绀,右胸呼吸运动减弱,触觉语颤减弱,中下部分叩诊实音,呼吸音降低;右上肺及左肺呼吸音增粗,可闻及干鸣及散在湿罗音,肝剑突下3cm可触及,肋缘下未触及。胸部X线片:正位可见右下胸密度均匀增高影,与上界呈弧状,与膈顶相似,右第10肋间可见水平状致密线影,其上可见局限性密度减低区,即肠肝区上移;侧位可见
Example 1, suffering from women, 4.8 years old, due to frequent vomiting 15d admission. 15 days before suffering from bronchiolitis with heart failure in the local hospital for treatment, cough did not improve, and increased day by day. Past history of repeated respiratory infections. Examination: shortness of breath, nose flap, mild cyanosis of the lips and nasal root, right chest weakened respiratory activity, tactile vocal weakening, the middle and lower part of the percussion real sound, reduced breath sounds; right upper lung and left lung breathing tone thickening can be Smell dry and scattered in the wet rales, liver xiphoid 3cm can be touched, not touched under the ribs. Chest X-ray: Orthographic display of right lower chest density even higher shadow, and the upper arc, similar to the top of the diaphragm, the right intercostal visible horizontal dense line shadow, which can be seen on the reduced density of the area, that intestinal Liver area up; visible lateral