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患儿男,11岁。主因发热、咳嗽4天住院。查体:体温38℃,呼吸30次/分,皮肤粘膜无异常,浅表淋巴结不大,口唇无紫绀。咽部充血,两侧扁桃体Ⅱ°肿大,无脓性分泌物。左肺呼吸音粗糙,并有散在干鸣音,右肺呼吸音稍低,且有少许细小水泡音。实验室检查:白细胞24.2×10~9/L,中性粒细胞0.60,淋巴细胞0.16,嗜酸性粒细胞0.24,血沉9mm/h。大便镜检3次未见寄生虫卵。胸部X线透视示右肺中下部呈片状密度不均、边缘模糊阴影。入院第二天拍胸片,显示片状阴影消失。
Children male, 11 years old. Mainly due to fever, cough 4 days hospitalization. Physical examination: body temperature 38 ℃, breathing 30 beats / min, no abnormal skin and mucous membranes, superficial lymph nodes, lips without cyanosis. Pharyngeal congestion, both sides of tonsil enlargement, no purulent secretions. Left lung breath sounds rough, and there are scattered dry sounds, the right lung breath sounds slightly lower, and a little small blisters sound. Laboratory tests: white blood cells 24.2 × 10 ~ 9 / L, neutrophils 0.60, lymphocytes 0.16, eosinophils 0.24, erythrocyte sedimentation rate 9mm / h. Stool examination 3 times no parasite eggs. X-ray chest X-ray shows the middle and lower right flank uneven density, blurred edges and shadows. On the second day of admission, the chest radiograph was taken and the flaky shadow disappeared.