论文部分内容阅读
患儿女,3 1/2岁。发热10天,体温38.5℃～39.5℃持续不退伴两眼发红及手足指(趾)肿胀三天,右颈部淋巴结肿大两天,全身皮疹一天,先后应用多种抗菌素无效于1986年2月12日入院。体检:38.9℃,发热面容,双眼结合膜充血,无分泌物,唇干裂,樱红色,见血痂,口腔粘膜潮红有多个小溃疡、杨梅舌,右耳下颈部有1.5×2×2cm~3淋巴结,压痛(+),心肺(-),肝右肋下刚及、颈、胸、腹部皮肤见多处散在大片状红色斑疹,无水疱,境界清楚,按之色退,手足背及指趾紧张性硬肿,压之非凹陷无疼痛,手掌心、足底部潮红、按之色退、克布氏症(一)。实验室检查:血钾、钠、氯、钙、二氧化碳结合力正常,红细胞370万/mm~3、血小板27万/mm~3,白细胞25400/mm~3,
Children with children, 3 1/2 years old. Fever 10 days, body temperature 38.5 ℃ ~ 39.5 ℃ sustained retiring with both eyes redness and hand and foot (toe) swelling for three days, two days of right cervical lymph nodes, whole body rash one day, has a variety of antibiotics invalid 1986 February 12 admission. Physical examination: 38.9 ℃, fever face, conjunctival hyperemia, no secretions, lip chapped, fuchsia, see blood scab, oral mucosa flushing with small ulcers, bayberry tongue, right ear neck 1.5 × 2 × 2cm ~ 3 lymph nodes, tenderness (+), cardiopulmonary (-), right subcostal Gangli and, neck, chest, abdomen, see the skin scattered scattered large patches of red rash, no blisters, the state clearly, according to the color retreat, Back and finger toe tension edema, non-depression pressure without pain, palms heart, foot flushing, according to the color back, brucellosis (a). Laboratory tests: serum potassium, sodium, chlorine, calcium, carbon dioxide binding is normal, erythrocyte 3.7 million / mm ~ 3, platelets 270000 / mm ~ 3, white blood cells 25400 / mm ~