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病例:女婴,2(1/2)月。发热10天,气促、呼吸困难伴发绀3天,X线胸片疑为勒雪氏病而入院。生后45天接种卡介苗。否认结核病接触史。体检:T39.4,R58,P200,急性病容,气促,呻吟,耳无流脓,鼻翼煸动,唇紫,呈三凹征,心率块,律整,心音低,左肺散在性中小水泡音。腹胀,肝肋下5cm,脾肋下3cm。血红蛋白148g/L,红细胞5.7×10~(12)/L,自细胞8.5×10~9/L,杆状0.18,多核0.52、淋巴0.27、单核0.03,血培养无细菌生长。X线胸片示两肺弥漫性大量斑点及不规则小片密影,左肺外带及右
Case: baby girl, 2 (1/2) month. Fever 10 days, shortness of breath, dyspnea with cyanosis 3 days, X-ray was suspected Leices disease and admitted to hospital. 45 days after birth vaccination BCG. Denied the history of tuberculosis exposure. Physical examination: T39.4, R58, P200, acute disease, shortness of breath, groaning, no pus in the ear, nose whistling, lip purple, showed three concave sign, heart rate block, law, heart sound low, sound. Bloating, liver ribs 5cm, spleen 3cm. Hemoglobin 148g / L, erythrocytes 5.7 × 10-12 / L, cells from 8.5 × 10-9 / L, rod 0.18, multinucleated 0.52, lymphatic 0.27, mononuclear 0.03, blood culture without bacterial growth. X-ray showed massive diffuse mass of both lungs and irregular small pieces of shadow, left lung takeaway and right