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患儿男,出生40d,因全身皮疹伴发热十余天八院。十余天前注射第2次乙肝疫苗时即有流涕、鼻塞,次日起发热达39℃同时从面部开始出现暗红色丘疹,逐渐漫延至躯干,四肢。以后皮疹融合成片,并伴手足水肿。在当地医院检查,血白细胞14.8×10~9/L,中性88％,血培养阴性。先后用青霉素、头孢唑啉、苯唑青霉素治疗,皮疹于住院后第4天有所消退。病后6d因皮疹加重伴发热不退转入我院。转院前曾用过地塞米松每日2mg共7d。发病以来,大便次数增多,2～3次/d,黄糊状无脓血。患儿系1胎1产,足月顺产,出生体重3800g,无窒息抢救史。母乳喂养,已加奶糕。已接种卡介苗。出生后即给
Children male, born 40d, due to systemic rash with fever more than ten days eight homes. More than ten days before the injection of the second hepatitis B vaccine that runny nose, nasal congestion, fever the next day up to 39 ℃ at the same time from the face began to appear dark red papules, gradually spread to the trunk, limbs. Rash fusion after the film, and hand, foot and edema. In the local hospital examination, white blood cells 14.8 × 10 ~ 9 / L, neutral 88%, blood culture negative. Has penicillin, cefazolin, oxacillin treatment, rash in the first 4 days after hospitalization has subsided. 6d after the illness due to rash aggravated with fever returned to our hospital. Dexamethasone has been used before the transfer of 2mg daily 7d. Since the onset, stool frequency increased, 2 to 3 times / d, yellow paste-free blood. Children with 1 fetus 1 birth, term full-term, birth weight 3800g, no asphyxia rescue history. Breastfeeding, has added the cake. Has been vaccinated BCG. Give it after birth