病历摘要患孩男性,九岁,山东籍,为某部家属。主诉:全身起红斑水皰,合并口腔粘膜糜烂,高热已4天而急症入院。患者于1962年6月30日晨,首先发现口唇及面頰部出现红斑及水皰,病变迅速扩展至躯干及四肢部,当晚即有高热。次日即至某医院诊治,当时体温高达40.5℃,红斑水皰已蔓延至全身,口腔粘膜已大部糜烂,神志曾一度昏迷。经该院给与5%葡萄糖生理盐水,维生素丙,及氢化考的松静脉滴注,连续二日,高热持续,病情未见减轻,随即转来我院。患孩于发病前未有服药史,也无其他不适。过去健康情况尚称良好。除经常有遗尿外,无其他特殊。入院时检查:体温39.4℃,脉搏124次/分,呼吸22次/分。发育中等,营养稍逊。呈急性病容,神志尚清楚,但精神萎糜。全身浅在性淋巴腺不肿大,胸部无浊音及罗音,心脏不扩大、无杂音。腹部柔软,无压痛。肝脾未触及。神经 Medical record Abdominal male, 9 years old, Shandong nationality, as a family member. Chief complaint: systemic erythema blisters, combined with oral mucosal erosion, fever has been 4 days and emergency admission. Patients in the morning of June 30, 1962, the first discovery of lips and cheeks appear erythema and blisters, the rapid expansion of the disease to the trunk and limbs, that night, that is, fever. The next day to a hospital for treatment, when the body temperature up to 40.5 ℃, erythema blisters have spread to the body, most of the oral mucosa erosion, consciousness once coma. The hospital to give 5% glucose saline, vitamin C, and hydrocortisone intravenously for two consecutive days, high fever continued, no reduction in the disease, then transferred to our hospital. The child had no history of medication before onset and no other discomfort. In the past, the health condition is still good. In addition to regular urinary bladder, no other special. Admission examination: body temperature 39.4 ℃, pulse 124 beats / min, breathing 22 beats / min. Medium development, less nutritious. Was acute disease, consciousness is still clear, but spiritual wilt. Systemic shallow lymphatic gland does not enlarge, no voiced and rales in the chest, the heart does not expand, no noise. Abdomen soft, no tenderness. Liver and spleen not touched. nerve