共用题干题 1、 10个月患儿,女,发热咳嗽3天,半天来嗜睡,因抽搐昏迷4小时来急诊。体温38.4℃,前囟膨隆。呼吸44次/分,双肺散在细湿啰音,心率140次/分,肝肋下2cm,白细胞:22×109/L,N75%。 - 1首先应如何处理
-
- 2最需要做哪项检查
-
- 3脑脊液压力2058Pa(210mmH2O),白细胞:10×106/L,均为淋巴细胞,则该患儿应诊断为
-
2、 2岁患儿。高热,体温39~40℃,频繁咳嗽,喘憋5天住院。查体:精神弱,面色苍灰,口周发青,呼吸40次/分,左肺呼吸音低,叩诊浊音,少许细湿啰音。外周血白细胞:8.8×109/L,N44%,异形淋巴细胞1%,L45%。X线胸片示左下肺大片状阴影。 - 1最可能的诊断是
-
- 21天后该患儿呼吸困难加重,X线胸片示左下胸呈密度均匀影,上界呈弧形,左肋膈角消失,该患儿可能合并
-
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ 试题答案与详细解析在下页 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
|