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患儿,男,20天,胎龄40+1周,顺产,出生体重3500g。入院前2天面部出现米粒大小淡红色皮疹,半天后遍及全身,以躯干、面部为多,部分出现水疮,予维生素C、异丙嗪口服无效。半日前体温达38.4℃,全身呈密集的水痘疹,精神欠佳而就诊。病程中无腹泻及呼吸困难,病前无用药史及婴儿湿疹史。其母分娩前2天有“水痘”接触史,产后半个月出现皮肤水疱疹,按水痘治疗1周痊愈。查体:体温:37.4℃,脉搏:134次/分,呼吸:30次/分,体重4000g,发育营养正常。神志清,反应尚可,呼吸平稳,全身皮肤可见密集分布的直径2～3mm大小的充血性丘疹、丘疱疹,疱
Children, male, 20 days, gestational age 40 + 1 week, natural delivery, birth weight 3500g. Two days before admission, there appeared a light pink rash on the face and spread throughout the body after half a day. Most of the body surface was watery, vitamin C and promethazine were ineffective. Half a day before the temperature reached 38.4 ℃, the body was intensive chicken pox, poor health and treatment. No diarrhea and dyspnea in the course of the disease, no medication before the history and history of infant eczema. The mother had 2 days before giving birth “chickenpox” exposure history, half a month after the emergence of skin water herpes, chickenpox treatment for 1 week cured. Physical examination: body temperature: 37.4 ℃, pulse: 134 beats / min, breathing: 30 beats / min, weight 4000g, normal development and nutrition. Conscious, the reaction is acceptable, stable breathing, the body can be seen densely distributed densely distributed diameter of 2 ~ 3mm in the size of congestive papules, herpes pimples, blisters