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例1.患者女,5(6/(12))岁,以“发烧5天,咳嗽3天”为主诉于1991年7月10日入院。入院前曾用先锋霉素3天,仍高烧不退,体温在39℃。胸片(病程第三天拍)示左上肺炎。患儿已接种卡介苗,否认结核接触史。查体:T39.5℃,神清,结膜充血,咽稍红,扁桃体Ⅰ°肿大,左上肺呼吸音稍低,未闻及罗音,叩诊稍浊,语颤两侧对称。心无异常。肝肋下可触及边。脾不大。周边血计分:白细胞3600/mm~3,N47％,L51％,E1％,M1％。初步诊断为“肺炎”(病毒感染)。入院后用病毒唑0.3/日、先锋霉素1g/日静滴。入院第二天拍胸片与病程第三天胸片相比,左上肺阴影明显增大,疑支原体肺炎。停输先锋霉素、病毒唑,改为红霉素0.5/
Example 1 Female patient, 5 (6 / (12)) years old, was admitted to hospital on July 10, 1991, with “fever for 5 days and cough for 3 days” as the chief complaint. Prior to admission had used cephalosporins 3 days, still high fever, body temperature at 39 ℃. Chest X-ray (the third day of the course of disease) showed the left upper pneumonia. Children have been vaccinated with BCG, denied contact history of tuberculosis. Examination: T39.5 ℃, Shen Qing, conjunctival hyperemia, throat slightly red, tonsil Ⅰ ° enlargement, lower left lung breath sounds lower, no smell and rales, percussion slightly turbid, both sides of the fibrillation symmetry. No abnormal heart. Liver ribs can reach the side. Spleen is not big. Peripheral blood score: white blood cells 3600 / mm ~ 3, N47%, L51%, E1%, M1%. Initial diagnosis of “pneumonia” (viral infection). After admission with ribavirin 0.3 / day, Pioneer ADM 1g / day intravenous infusion. On the second day of admission, the chest radiograph was compared with the chest radiograph of the third day of the course. The shadow of left upper lung obviously increased, and mycoplasma pneumonia was suspected. Stop transmission of cephalosporins, ribavirin, replaced by erythromycin 0.5 /