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猩紅热是一种常見的传染病,一般普通型病例根据典型症状如急性起病,高热、咽啖炎、草莓舌、呕吐、弥漫性猩紅色鷄皮状疹,脱皮等診断不难。用青霉素治疗效果良好。但中毒型病例,症状常不典型,診断上不无困难,且其病情发展迅速,預后凶险,故早期診断,及早治疗,特別是中西医配合治疗极为重要。本文之目的即对中毒性猩紅热之临床特点,診断及鉴别診断之要点,中西医治疗等作以簡要籣述,以供参考。中毒性猩紅热按其中毒程度可分为以下二型: 1.中度中毒型:超病急騾,体温很高,常在40℃以上,咽啖炎严重,皮疹暗紅色,有明墨的神經系症状及心脏血管障碍,呕吐屡見,有的伴有腹泄。
Scarlet fever is a common infectious disease, the general type of cases based on typical symptoms such as acute onset, fever, pharyngitis, strawberry tongue, vomiting, diffuse scarlet chicken skin rashes, peeling and other diagnosis is not difficult. With penicillin treatment effect is good. However, poisoning cases, the symptoms are often atypical, diagnosis is not without difficulty, and its rapid progression, the prognosis is dangerous, so early diagnosis and early treatment, especially with Chinese and Western medicine treatment is extremely important. The aim of this paper is to briefly review the clinical features of toxic scarlet fever, the main points of diagnosis and differential diagnosis, and the treatment of traditional Chinese and western medicine for reference. Poisoning scarlet fever can be divided into the following two types according to their poisoning degree: 1. Moderate poisoning: super disease acute mule, body temperature is very high, often above 40 ℃, severe pharyngitis, rash dark red, with clear ink nerve Symptoms and cardiovascular disorders, vomiting common, and some accompanied by diarrhea.