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患儿,男,2012年2月2日出生,第2胎,足月顺产,出生体重3.9kg,新生儿阿氏评分10分。出生后曾接种过卡介苗1剂(右上臂三角肌中部皮内注射)、乙肝疫苗2剂(第1剂接种部位左上臂三角肌肌内,第2剂部位左上臂外侧三角肌肌内,接种前身体健康,无接种禁忌证、无过敏史。家长自述家族中无过敏和遗传性疾病史。2012年4月2日上午10点,患儿在重庆市沙坪坝区某预防接种门诊注射B型流感嗜血杆菌结合疫苗(HIB)1剂(云南沃森生物技术有限公司生产,批号201103008),接种部位为右上臂三角肌附着处皮下。灭活脊髓灰质炎疫苗(IPV)1剂(赛诺菲巴斯德公司生产,批号H0105-1),接种部位为左上臂三角肌附着处皮下,观察半小时无异常后回家。4月5日,家长发现患儿右上臂出现红肿,直径大于5.0cm,遂立即带患儿到接种医院就诊。医生诊断为接种HIB后的局部红肿硬结,属一般反应。医嘱:用硫酸镁粉湿热敷治
Children, male, born February 2, 2012, the second child, term full-term birth, birth weight 3.9kg, neonatal score 10 points. Born before vaccination after BCG 1 (right upper quadrant deltoid in the middle of the intradermal injection), hepatitis B vaccine 2 (the first dose site of the upper left arm deltoid muscle, the second part of the upper left lateral lobe deltoid muscle, before inoculation Good health, no contraindications to contraindications, no history of allergies .Parents readme history of family history of allergies and hereditary diseases .At 10:00 on April 2, 2012, children in Shapingba District of Chongqing vaccination outpatient clinic injection of influenza B (HIB) 1 (produced by Yunnan Watson Biotech Co., Ltd., batch No. 201103008), and the inoculation site was subcutaneously attached to the deltoid muscle of the right upper arm. Inactivated poliomyelitis vaccine (IPV) 1 Sid company production, batch number H0105-1), vaccination site for the upper left arm deltoid attached to the subcutaneous, no abnormal after half an hour to observe the return home .4 5, parents found that children with right upper arm swelling, diameter greater than 5.0cm, Then immediately with children to vaccination hospital doctor diagnosed as local inflamed Hirschs after inoculation of HIB, is a general response.Master order: wet heat with magnesium sulfate dressing