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患儿女,5岁,因发热6天伴皮疹3天,于1992年5月11日入院。患儿持续高热,多次就诊,用抗生素无效,发热第5天在外院检查示:血Hb120g/L,WBC13×10~9/L,P0.77,L0.21;尿RBC+,WBC++,脓球+;肝功能:ALT86.4U。诊为“肝炎”转来我院。入院时诉咳嗽、头痛。体检:T39.9℃,BP10.7/5.3kPa,急性病容,面红,双眼球结膜充血,结膜下出血,口唇鲜红、干裂,咽、口腔粘膜充血,杨梅舌,左侧颈淋巴结肿大,无压痛,心音中等,心律齐,心率126次/min,心界无扩大,两肺呼吸音粗,无干湿啰音,肝肋下1.0cm,剑突下3.0cm,无触痛,全身散在不规则斑丘疹,压之褪色,双手腕以下皮疹密集,手心潮红,手指关节肿胀。实
Children, 5 years old, 6 days with fever and rash for 3 days, admitted to hospital on May 11, 1992. Children with persistent high fever, multiple visits, with antibiotics ineffective, fever on the 5th day in the hospital showed: blood Hb120g / L, WBC13 × 10 ~ 9 / L, P0.77, L0.21; urine RBC +, WBC ++, pus ball +; Liver function: ALT86.4U. Diagnosed as “hepatitis” transferred to our hospital. Cough, headache when admitted to hospital. Physical examination: T39.9 ℃, BP10.7 / 5.3kPa, acute disease, redness, conjunctival hyperemia, subconjunctival hemorrhage, red lips, chapped, pharynx, oral mucosal hyperemia, bayberry tongue, left cervical lymph nodes, No tenderness, moderate heart sound, heart rate Qi, heart rate 126 beats / min, no expansion of the heart, the two lungs rough breathing sounds, dry and wet rales, liver ribs 1.0cm, xiphoid 3.0cm, no tenderness, body scattered Irregular rash, fade pressure, rash intensive below the wrists, palms flush, swollen finger joints. real