病案翻译.DOCVIP

病案翻译linical Case One：Pediatrics 患儿，男，3个月，因发热四天，咳嗽，气促，抽风两次，于1961年2月24日住某医院。住院检查摘要：体温39.4度，脉搏106次/分，发育及营养中等，右肺叩诊稍浊，两肺呼吸音粗糙，有干罗音及小水泡音，以右肺为着。肠鸣音略亢进。血化验：白细胞总数12900/立方毫米，中性68%，淋巴32%.胸透：右肺上下均可见片状阴影，肺文理模糊。临床诊断：腺病毒肺炎。病程与治疗：患于2月21日突然发热，咳嗽，有少量痰，伴有腹泻，日四五次，为黄色溏便，精神萎顿，吃奶少，两天后咳嗽气喘加重，连续在某门诊部治疗，用退热消炎止咳等西药未效。 2月24日突发抽风两次，每次持续叁、四秒钟，两次间隔时间较短，当即住院。证见高烧无汗，烦燥哭闹，时有惊惕不安等，先用土、红霉素等西药，并服大剂麻杏石甘汤复以银翘散加味，寒凉彻热，症状未见改善，即停用红霉素。于28日请蒲老会诊。当时高烧40度，仍无汗，面色青黄，咳而喘满，膈动足凉，口周围色青，唇淡，脉浮滑，指纹青，直透气关以上，舌质淡，苔灰白，胸腹满。此属感受风寒，始宜辛温疏解，反用辛凉苦寒，以致表郁邪陷，肺卫不宣。治拟调和营卫，透邪出表，苦温合辛温法。用桂枝加厚朴杏子加味。处方：桂枝1.5克 白芍1.8克 炙甘草1.5克 生姜二片 大枣二枚 厚朴1.5克 杏仁十粒 僵蚕3克 前胡1.5克 一剂。药后有微汗出，体温渐退，精神好。  Interpreting Exercise of Pediatrics A male, three months old, was admitted to the in-patient on Feb 24th, 1961 with the chief complaint of high fever for four days, cough, short of breath and convulsion twice. His summarized physical examination reported as followed: fever to 39.4℃, pulse to 106 beats per minute, and he was middle developed and nourished. Dull sound was examined by percussion; rough breath sound with dry and fine rales of both lung lobes, especially in the right lobe, was tested by auscultation. A hyperactive bowl sound was heard. Examination of Blood cells: WBC count was 12900 cubic millimeter including 68% neutrophil and 32% lymphocyte. Chest X-ray reported unclear lung markings with plaque-like shadows on the right lung. Clinical diagnosis: adenovirus pneumonia. Course of disease and treatment: the child suffered from sudden fever, cough with a small amount of sputum, diarrhea with yellowish and loose stool for four or five times a day, lassitude, poor appetite for milk on Feb 21st. Two days later, panting and cough was worsened and it still remained after taking antipyretics, antibiotics and antitussive agent in an out-patient department. On Feb 24th, the child was suddenly attacked by twice infantile convulsion with three to four minutes of duration and a short interval. Then he was hospitalized. His manifestations were high fever with no swe