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患儿男,1岁5个月。1978年1月20日因受凉出现流涕、咳嗽,服药后好转。1月24日打麻疹预防针后,晚上发热达40℃,咳嗽加重。1月27日出现气促,下午抽搐8次,经公社卫生院处理后抽搐停止,即送来住院。体检:体温38℃,脉搏162次,呼吸70次,血压74/46毫米汞柱。发育正常,营养中等,神清,重病容。皮肤弹性稍差,无出血点,无皮疹。前囟未闭,稍凹。两侧瞳孔对称,小如针尖。鼻翼扇动,口唇较干燥,有轻度紫绀。咽红,
Children male, 1 year old 5 months. January 20, 1978 due to cold runny nose, cough, medication improved. January 24, after playing a measles vaccine, fever at night up to 40 ℃, cough worse. On January 27, there was an onset of shortness of breath and convulsions in the afternoon of 8 times. The convulsions were stopped after being handled by the commune and public health center and hospitalized. Physical examination: body temperature 38 ℃, pulse 162 times, breathing 70 times, blood pressure 74/46 mm Hg. Normal development, moderate nutrition, clear demeanor, seriously ill. Slightly less elastic skin, no bleeding, no rash. Anterior fontanel not closed, slightly concave. Symmetrical pupil on both sides, small as a needlepoint. Nose flap, lips dry, mild cyanosis. Throat,