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例1男,1岁,因发热,嗜睡4天,近2天来频繁呕吐于1988年2月12日入院。患儿于2月8日始畏寒,发热39.8℃,嗜睡,拒食,阵发性尖叫(?)当地医院诊断为“上感”,应用庆大霉素、洁霉素、安乃近等,汗出热退。次日热峰39.5℃,上述症状加重,第3病日热未退,频繁呕吐,为喷射性,胸、腹、臀、四肢,皆见散在出血性皮疹。疑为“流行性脑脊髓膜炎”转来我院。当地有“流行性脑脊髓膜炎”患者,既往史无特殊。体检:体温39.3℃,脉搏124次,呼吸20次,血压10.5/6.5KPa,神志恍、嗜睡,苍白,激惹状态,颈、胸、腹、背、臀、四肢均见散在0.2～0.6cm 大小瘀点、瘀
Example 1 Male, 1 year old, due to fever, drowsiness for 4 days, nearly 2 days frequent vomiting in February 12, 1988 admission. Children started chills on February 8, fever 39.8 ℃, drowsiness, antifeedant, paroxysmal scream (?) The local hospital diagnosed as “flu”, the application of gentamicin, lincomycin, metamizole, etc. Sweat out of heat. 39.5 ℃ the next day hot peak, the above symptoms worsened, the first three days of fever did not retreat, frequent vomiting, jet, chest, abdomen, buttocks, limbs, are scattered scattered hemorrhagic rash. Suspected as “epidemic cerebrospinal meningitis” transferred to our hospital. Local “meningococcal meningitis” in patients with no previous history. Physical examination: body temperature 39.3 ℃, pulse 124 times, breathing 20 times, blood pressure 10.5 / 6.5KPa, conscious, drowsiness, pale, irritability, neck, chest, abdomen, back, buttocks, limbs are scattered in the 0.2 ~ 0.6cm size Petechia, stasis