儿科疑难病例讨论

吸音粗,未及明显干湿性啰音,心率122次/分,律齐,未及明显病理性杂音,腹平软,未及包块,肝脾肋下未及,脊椎及四肢无关节红肿疼痛,活动自如,神经系统检查病理征未引出。Р病例资料Р入院前辅助检查:(2013-02-17 我院)?血常规+CRP示WBC20.6G/L,N55.3%,L39.47%,HB109g/L,PLT385G/L ,CRP19MG/L。Р病例资料Р初步诊断 ? 急性上呼吸道感染Р33.47Р106.6Р151Р21РCRP(mg/L)Р410Р91Р199Р352РPLT(10^9/L)Р0.236Р0.261Р0.307Р0.318РHCTР80Р89Р104Р105РHGB(g/L)Р2.99Р3.37Р3.89Р4.01РRBC(10^12/L)Р36.9Р37.9Р24.8Р30.2РLY%Р54.8Р59.9Р74.7Р60.4РNE%Р22.2Р11.8Р13.6Р24.3РWBC(10^9/L)Р2.25Р2.22Р2.19Р2.17Р日期?BRT+CRPР辅助检查Р日期?BRT+CRPР2.26Р2.27Р3.04Р3.05Р3.07РWBC(10^9/L)Р14.1Р14.3Р17.9Р18.4Р10.5РNE%Р51.7Р27Р38.9Р42.6Р23.1РLY%Р33.9Р53.8Р39.8Р39.3Р62.8РRBC(10^12/L)Р2.81Р2.71Р2.82Р2.93Р2.99РHGB(g/L)Р77Р73Р78Р79Р79РHCTР0.224Р0.21Р0.226Р0.234Р0.238РPLT(10^9/L)Р410Р535Р814Р818Р683РCRP(mg/L)Р19.72Р17Р22.49Р18.32Р<1Р辅助检查Р日期РESRР2.17Р2.22Р2.26Р3.10РESR (mm/h)Р14Р33Р93Р101