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例1,男,3岁,咳嗽伴阵发性喘憋3月余。患儿起病时咳嗽、咳痰、轻度喘憋,渐加重,乡医按气管炎、肺炎治疗无效。体检:神清,右下肺叩浊音,呼吸音极低,双肺可闻喘鸣音,心腹未见异常。胸片示右上肺气肿,右心肠角处大片状密度均匀一致的阴影,边缘清晰。考虑支气管异物,行支管镜检查于右支气管取出半粒花生米。术后咳嗽消失,两侧呼吸音正常。例2,女,1(1/2)岁,主因咳嗽、咳痰、喘憋伴间断发烧一月就诊。患儿一个半月前有呛咳史,但家长述异物已咳出,此后10天出现咳嗽咳痰、喘憋等症。体温38℃左右,乡医按支气管炎、肺炎治疗无
Example 1, male, 3 years old, cough with paroxysmal asthma more than 3 months. Childhood onset cough, sputum, mild wheezing, getting heavier, rural doctor tracheitis, pneumonia treatment is invalid. Physical examination: God clear, lower right lung knocking voiced, breath sounds very low, the lungs can smell the sound of wheezing, confidante no exception. Chest radiograph showed right upper pulmonary emphysema, right ventricular angle at large patchy uniform density of the shadow, clear edges. Consider bronchial foreign body, line bronchoscopy in the right bronchus to take out half a peanut. Cough disappeared after surgery, normal bilateral breath sounds. Example 2, female, 1 (1/2) years old, mainly due to cough, sputum, wheezing with intermittent fever January treatment. Children with cough history a month and a half ago, but the parents said the foreign body has coughed, cough and expectoration after 10 days, wheezing embolism. Body temperature around 38 ℃, township medicine by bronchitis, pneumonia without treatment