论文部分内容阅读
患儿男,11岁。主因发热伴咳嗽及呼吸困难4d于2002年8月18日收入本院。患儿生后即为巨大儿,体重5kg,食欲好,体重增长迅速,于4年前体重达82kg;近4年中常有多饮,夜间遗尿,睡眠不能平卧,睡时有鼾声及呼吸暂停,体重迅速增长,活动困难;4d前患儿着凉后咳嗽,为顿咳,咳黄痰,有明显的呼吸困难,嗜睡伴发热,于当地静滴青霉素治疗3d,效果不佳转入本院。患儿于2年前在本院皮肤科门诊诊断为真菌性皮炎,迁延不愈;有肥胖家族史。
Children male, 11 years old. Mainly due to fever with cough and difficulty breathing 4d on August 18, 2002 income in this hospital. Children born after the huge children, weight 5kg, good appetite, rapid weight gain, weight 4 years ago, up to 82kg; nearly 4 years often have a drink, nocturnal enuresis, sleep can not lie down, sleep when there is snoring and apnea , Weight rapid growth, activity difficulties; 4d children with cold cough before the cough, cough cough, cough yellow sputum, there are obvious dyspnea, lethargy with fever, intravenous infusion of penicillin in the local 3d, ineffective transferred to our hospital. Children 2 years ago in our hospital dermatology diagnosis of fungal dermatitis, delayed healing; have a fat family history.