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患儿李某,男,1岁4个月,住院号205696,以发热咳嗽15d 之主诉于1987年2月26日入院.住院前15d,患儿无明显原因发烧,体温39℃,无寒颤,伴咳嗽.发热第2d 突然两眼上翻,四肢抽动,持续约5min 经针刺、降温后缓解.此后发现患儿两眼发红,面部、四肢、躯干出现红色皮疹,当地医院怀疑麻疹,出血热等,用抗生素、中药治疗,两天后皮疹消退,但体温波动在39～40℃.第7天发现双手、足又硬又肿,小儿哭闹不安,不能站立,咳嗽加重,体温不降,后转我院治疗.病后患儿精神食欲差,大便稀,无脓血和粘液.小便正常。系第2胎2产,足月顺产.母乳喂养,未添加辅食.曾患过麻疹。预防接种史不详.父母非近亲结婚.查体 T38.6℃,发育营养欠佳.皮肤无出血点,颜面及躯干无支疹.结膜无充血。口唇干燥,发红,皲裂.口角糜烂,舌尖溃疡,舌质红,有芒剌.咽充血,颈无抵抗.右侧颈淋巴结如黄豆大小,活动
Children with Lee, male, 1 year old 4 months, hospital number 205696 to cough 15d chief complaint was admitted on February 26, 1987. 15d before admission, children with no obvious reason of fever, body temperature 39 ℃, no chills, Accompanied by cough.Female 2d suddenly turned upside down, limbs twitch, continued for about 5min by acupuncture, after cooling relief .Following that children with red eyes, face, limbs, trunk red rash, the local hospital suspected of measles, bleeding Heat, etc., with antibiotics, traditional Chinese medicine treatment, two days after the rash subsided, but the body temperature fluctuations in 39 ~ 40 ℃ .7 days found hands, feet and hard and swollen, children crying uneasy, can not stand, cough worse, body temperature does not fall, After the transfer to our hospital for treatment .Small children with poor appetite, loose stools, no blood and mucus .People normal. Department of the second 2 births, full-term birth. Breastfeeding, no added food supplement. Had ever had measles. Vaccination history is unknown .Parents non-relatives get married. Physical examination T38.6 ℃, poor developmental nutrition. No skin bleeding, face and trunk no rash. Conjunctival hyperemia. Dry lips, redness, chapped. Mouth erosion, tongue ulcers, red tongue, there Mau assassination. Pharyngeal congestion, neck without resistance. Right cervical lymph nodes such as soybean size, activity