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麻疹并发视神经萎缩甚罕见。我们曾收治一例,现报导如下。病例:女,14岁,因发热、皮疹15天,头痛、呕吐6天,于1980年3月14日入院。患者于2月28日觉发热头晕头痛,发现耳后及额部出现大小不等、形态不一的淡红色斑丘疹,渐向躯干及四肢发展,两三天后皮疹出至足部。少许咳嗽,皮疹消失后遗留色素沉着。但觉头痛加剧,伴呕吐,下肢痛,不能走路。经当地卫生院治疗未见效而入院。当地有麻疹流行。体查:体温36.5℃,呼吸20次/分,脉搏50次/分。发育正常,营养中等,神清,急性病容,呻吟,全身皮肤可见色素沉着斑,五官端正,颈软,眼结膜不充血,两肺未闻啰音,心律不整,心率50次/分,偶有期外收缩,腹软,肝脾未触及,腓肠肌轻度压痛,未引出病理神经反射。白细胞:11000,中性55％,淋巴45％。尿常规:淡黄色、呈酸性,蛋白阴性,脓球少
Measles complicated by optic atrophy is rare. We have admitted a case now reported as follows. Case: Female, 14 years old, due to fever, rash 15 days, headache, vomiting for 6 days, was admitted to hospital on March 14, 1980. The patient feels dizzy and feels dizzy on Feb. 28 and found that the ears and forehead appear in different sizes. The red-colored rash that is different in shape gradually develops to the trunk and limbs. The skin rashes out to the feet after two or three days. Little cough, pigmentation left after rash disappears. However, increased headache, vomiting, leg pain, can not walk. After the treatment of the local hospital did not work and admitted to hospital. The local measles epidemic. Physical examination: body temperature 36.5 ℃, breathing 20 beats / min, pulse 50 beats / min. Normal development, moderate nutrition, clear, acute disease, moan, body skin visible pigmentation, facial features, neck soft, conjunctival congestion, lungs unheard rales, irregular heartbeat, heart rate 50 beats / min, occasionally External contraction, abdominal soft, liver and spleen not touched, gastrocnemius mild tenderness, did not lead to pathological nerve reflex. White blood cells: 11000, 55% neutral, lymph 45%. Urine: light yellow, acidic, negative protein, pus ball less