Paediatrics, Royal Belfast Hospital for Sick Children, Belfast, UK
General Paediatrics, Royal Belfast Hospital for Sick Children, Belfast, UK.
Arch Dis Child Educ Pract Ed. 2021 Jun;106(3):155-159. doi: 10.1136/archdischild-2019-318121. Epub 2019 Oct 29.
A 9-month-old boy presented to the emergency department with acute wheeze. He had a background of cleft lip repair at 4 months and was awaiting palatoplasty. He had mild eczema but had never had a previous wheezy episode, and was awaiting cardiology follow-up for a small patent ductus arteriosus (PDA). He had been at the child minder when symptoms began abruptly with no witnessed event. On assessment, the wheeze had resolved, saturations were 98% breathing air, respiratory rate was 34 breaths per minute and he was afebrile. He was discharged home with safety net advice.He represented 2 days later with cough, wheeze and shortness of breath. On examination, he had subcostal recession and there was reduced air entry on the right. There was no wheeze, crepitations or obvious organomegaly. Oxygen saturations were 98% breathing air, respiratory rate was 38 breaths per minute and he was afebrile. Oral amoxicillin was given.
一名 9 个月大的男婴因急性喘息到急诊就诊。他在 4 个月时接受了唇裂修复手术，正在等待腭裂修复手术。他有轻度湿疹，但从未有过喘息发作，一直在等待心脏病学随访以治疗小的动脉导管未闭 (PDA)。症状突然出现时，他正在托儿所，没有目击者。评估时，喘息已经缓解，空气饱和度为 98%，呼吸频率为每分钟 34 次，无发热。他带着安全网建议回家。2 天后，他因咳嗽、喘息和呼吸急促再次就诊。检查时，他有肋间隙凹陷，右侧呼吸音减弱。没有喘息、啰音或明显的器官肿大。空气饱和度为 98%，呼吸频率为每分钟 38 次，无发热。给予口服阿莫西林。
