患儿女,13个月,以咳嗽、发热40余天,加重伴气喘6d入院。在当地按“肺炎”给予氨苄青霉素、红霉素等治疗。6d前因病情加重,出现面色发青、烦躁哭闹、呼吸困难而转我院治疗。生后即以人工喂养。查体:T38.8℃,P170/min,R96次/min,体重7kg。发育营养差。面色发灰,鼻翼煽动,口唇明显发绀,表浅淋巴结不大。右肩背部皮下触之有握雪感,咽红,颈软,气管明 Children with children, 13 months to cough, fever more than 40 days, increased with asthma 6d admission. According to the local “pneumonia” given ampicillin, erythromycin and other treatment. 6d before the exacerbations, appear pale, irritability, crying, dyspnea and transferred to our hospital for treatment. After giving birth artificial feeding. Physical examination: T38.8 ℃, P170 / min, R96 times / min, weight 7kg. Poor nutrition Looks gray, nasal incitement, obviously cyanotic lips, superficial lymph nodes is not large. The right shoulder and shoulders subcutaneous touch with a sense of snow, throat, neck soft, tracheal Ming