摘要
Case history A 2-year-old girl was brought to the hospital for evaluation of a harsh cough and difficulty breathing.She developed a cold with a runny nose 3 days ago and has been feeling ill.Her mother said she was awake most of the previous night with a barking cough and noisy breathing.The physical examination revealed an oth-erwise healthy child with persistent inspiratory stridor and lower rib retractions at rest.Her vital signs included a pulse of 130/min,a respiratory rate of 40/min,a BP of 90/60 mmHg,and an axillary temperature of 37.3℃.Auscultation revealed an inspiratory stridor transmitted through the lung fields.There was no cyanosis and no other abnormal physical signs.