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例1 女,6月。以发热,前囟膨隆2d为主诉入院。查体:T39℃,一般情况好。前囟1.5cm×1.5cm,膨隆,余无阳性体征。实验室检查血尿粪三常规正常。按“急性上呼吸道感染”治疗。入院第2天热退。但躯干出现点状直径约2mm红色斑疹,周围有淡色红晕,压之可以退色。面部、四肢皮疹缺如。同时前囟恢复平软。诊断“幼儿急疹”。住院3d痊愈出院。出院时皮疹开始消退,无色素沉着及脱屑。出院2周后随访一切正常。 例2 女,5月。以发热腹泻3d主诉入院。查体:T38.8℃,前囟1.5cm×1.5cm,高度膨隆。余无阳性体征。实验室检查:血尿粪三常规正常。脑
Example 1 Female, June. To fever, bulbar anterior fontanel 2d mainly admitted to hospital. Physical examination: T39 ℃, the general situation is good. Anterior fontanel 1.5cm × 1.5cm, bulging, I no positive signs. Laboratory tests of blood and urine three normal normal. Press “acute upper respiratory tract infection” treatment. Admission the first two days hot. However, the trunk appears punctate diameter of about 2mm red rash, around a pale blush, the pressure can fade. Face, limbs rash missing. At the same time the bregma recovered flat soft. Diagnosis of “child emergency rash.” Hospitalized 3d discharged. The rash began to subside on discharge from the hospital, with no hyperpigmentation and scaling. Follow-up was normal after 2 weeks of discharge. Example 2 female, May. To the main complaint of fever diarrhea admission. Physical examination: T38.8 ℃, bregma 1.5cm × 1.5cm, highly bulging. I no positive signs. Laboratory tests: normal blood and urine dung three routine. brain