诊断鉴别（Diagnosis and differential diagnosis）.doc

诊断鉴别（Diagnosis and differential diagnosis） Bronchopneumonia: atypical pneumonia, with fever as the main manifestation, without coughing or coughing, mild, early lungs can not hear, and with the passage of time, lung signs can appear. Dynamic observation of pulmonary signs, body temperature control, if necessary, the chest X-ray examination. The early stage of acute infectious disease: on often prodromal symptoms of various infectious diseases, such as measles, epidemic cerebrospinal meningitis, whooping cough, fever, exanthema subitum, rubella, should be combined with comprehensive analysis of epidemiological history, clinical manifestations and laboratory data, and to observe the evolution of the disease and to identify. Children with fever for a short time, for one day, clinical should be vigilant, acute infectious diseases of prodromal symptoms, continue to dynamically observe children with or without rash. Acute appendicitis: infection with abdominal pain should be identified in this disease. Acute appendicitis abdominal pain is often the first fever, abdominal pain mainly, persistent, muscle tension and fixed tenderness point, increased blood leukocytes and neutrophils. Children without abdominal pain, regardless of temporary consideration. Younger children, need to guard against the progression of severe pneumonia complicated with phlegm blocking, asphyxia, respiratory failure, heart failure and encephalopathy, maintain airway patency, dynamic observation of changes in condition, the disease course of 7-14 days, most can be cured after treatment. 1., improve the relevant examination (three major routine, liver and kidney function, myocardial enzymes, high sensitivity C reactive protein, mycoplasma, chest X-ray, blood electrolyte, sputum culture, blood transfusion before examination, etc.). 2. give antibiotics (cefotaxime sodium, amoxicillin and clavulanate potassium needle), phlegm (ambroxol), Corbett, Pulmicort pump, maintain airway patency, necessary oxygen;