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患儿男,9岁,以发热伴咽痛1天主诉于2005年5月4日入院。既往体健,家庭史无特殊。入院查体:T38.7℃,急性热病容,神志清楚,精神欠佳,呼吸略快。咽充血显著,扁桃体Ⅱ。肿大,可见较多脓性分泌物,右上(34Ⅰ)齿龈红肿,心、肺、腹查体未见异常。血液分析:白细胞16.2×10~9/L,中性粒细胞76%,淋巴细胞22%,红细胞4.18×10~(12)/L,血红蛋白123g/L,血小板211×10~9/L。诊断:1、急性化脓性扁桃体炎;2、齿龈炎。入院后给予口服泰诺林8ml退热降温,头孢唑啉抗感染治疗。口服泰诺林10分
Children male, 9 years old, with fever and sore throat 1 day chief complaint on May 4, 2005 admitted. Past physical health, family history is no special. Admission examination: T38.7 ℃, acute fever, conscious, poor health, breathing slightly faster. Significant pharyngeal congestion, tonsil Ⅱ. Swollen, showing more purulent discharge, upper right (34 Ⅰ) inflamed gums, heart, lung, abdominal examination showed no abnormalities. Blood analysis: Leukocytes 16.2 × 10 ~ 9 / L, 76% of neutrophils, lymphocytes 22%, erythrocytes 4.18 × 10-12 / L, hemoglobin 123g / L, platelet 211 × 10 ~ 9 / L. Diagnosis: 1, acute suppurative tonsillitis; 2, gingivitis. After admission to give oral Tylenol 8ml antipyretic cooling, cefazolin anti-infective treatment. Tylenol orally 10 points