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吴姓女孩,5岁,因发热十天,出疹六天,近日来有呕吐、腹泻而于63年5月3日上午入院。患儿于10天前开始有发热及卡他儿症状,4天后出现麻疹的典型皮疹,并因出疹的第二天有严重的咳嗽及气喘,口唇出现紫绀,故去××医院就诊,诊断为麻疹肺炎,给予合霉素(共享六天)及其它对症处理,经治疗后情况逐渐好转,体温正常而随带合霉素等药出院(即4月30日)。到5月1日患儿又重新发热,伴有呕吐,次数较多,呕吐物为食物及黄水。5月2日呕吐更为严重,达数十次,喷射状,呕吐物为黄水,大便三次,稀,黄绿色,同时全身出现荨麻疹样皮疹,故又去××医院就诊,印象为流行性脑脊髓膜炎。但经过进一步检查,脑脊液报告为阴性而排除,并诊断为麻疹后肺炎而转入我院。过去未患过任何传染病,接种过牛痘,患儿系第二胎足月顺产,母乳喂养,近日未吃过不洁之食物,家中无类似疾病。
Wu girl, 5 years old, due to fever ten days, rash six days, recent vomiting, diarrhea and in the morning of May 3, 63 admission. Children with fever and catarrhal symptoms started 10 days ago, 4 days after the typical case of measles rash and because of the second day after the rash with severe cough and asthma, lips cyanosis, it went to × × Hospital, diagnosed as Measles pneumonia, to give tetracycline (sharing six days) and other symptomatic treatment, the situation gradually improved after treatment, normal body temperature and other drugs with co-fungi discharged (ie April 30). On May 1, the child re-fever, accompanied by vomiting, more times, vomit food and yellow water. May 2 vomiting is more serious, up to dozens of times, jet-like, vomit yellow, stool three times, thin, yellow-green, at the same time the body appeared urticaria-like rash, so go to × × hospital for treatment, the impression is popular Cerebrospinal meningitis. However, after further examination, CSF was negative and excluded, and diagnosed as pneumonia after measles and transferred to our hospital. In the past did not have any infectious diseases, vaccinated with cowpox, pediatric second-term full-term birth, breastfeeding, not eaten food unclean, no similar disease at home.