目的探讨幼儿急疹早期诊断的标准。方法对68例幼儿急疹首发症状、临床表现、发病季节、年龄及实验室检查等进行回顾性总结分析。结果68例均有发热,高热占91.2%,枕部淋巴结肿大占61.8%,皮疹为玫瑰色的斑疹或斑丘疹,主要集中于头部、颈部及躯干,压之褪色,热退疹出,18~24h内皮疹出满,消退时间为2~3d,实验室检查外周血白细胞总数(2.5~12.3)×109/L,淋巴细胞比例>65%者52例,四季散发,以春末冬初季节稍居多。结论总结出6个诊断要点即早期诊断标准,依据标准发热尚未出疹者应考虑ES感染,若热退疹出,则可确诊。 Objective To investigate the standard of early diagnosis of acute rash in children. Methods A retrospective analysis was made on the first symptom, clinical manifestations, onset season, age and laboratory tests of 68 young children with acute rash. Results 68 cases were fever, fever accounted for 91.2%, occipital lymphadenopathy accounted for 61.8%, the rash is rosy rash or rash, mainly in the head, neck and torso, the pressure of fading, heat rash In 18 ~ 24h rash out of full, subsided time is 2 ~ 3d, laboratory examination of peripheral blood leukocytes (2.5 ~ 12.3) × 109 / L, lymphocyte ratio> 65% in 52 cases, distributed in four seasons, Winter season slightly more. Conclusions Six diagnostic criteria, ie early diagnosis criteria, were summarized and ES infection should be considered based on the standard fever without rupture.