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本文报告5例比较少见的流感杆菌肺炎如下。病例1 6岁,1972年3月入院。入院前7天耳痛,无热。4天后左上腹痛,寒战,体温39℃。鼓膜发红、膨隆。左肺下野有罗音。入院时体温40℃,鼓膜光泽消失,左肺下野呼吸音减低,叩诊浊音。X线胸片显示该区有浸润。白细胞21,300,中性粒细胞92%。鼻咽及咽培养为正常菌,血培养生长流感杆菌。静注氨苄青霉素,24小时内体温降至正常。治疗7天,胸片正常出院。
This article reports 5 cases of rare influenza bacilli pneumonia is as follows. Case 1 6 years old, admitted to hospital in March 1972. 7 days before admission, earache, no heat. 4 days after the upper left abdominal pain, chills, body temperature 39 ℃. Eardrum redness, bulging. The left lung has rales. Admission at body temperature of 40 ℃, eardrum gloss disappears, the left lung sounds lower respiratory depression, percussion dullness. X-ray showed infiltration of the area. WBC 21,300, neutrophils 92%. Nasopharyngeal and pharyngeal culture of normal bacteria, blood culture and growth of influenza bacilli. Intravenous ampicillin, body temperature dropped to normal within 24 hours. Treatment for 7 days, chest X-ray normal discharge.