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传染科一、试述麻疹、猩红热、金黄色葡萄球菌败血症的鉴别诊断要点。答:1、麻疹:①病原为麻疹病毒。②有麻疹接触史(特别在三周内)。③有明显的上呼吸道炎及眼结合膜炎症状。④病期2~3日,即在双侧颊粘膜可见麻疹粘膜斑(科泼力克氏斑)⑤皮疹多在第四病期出现,大小不等,形状不一的暗红色斑丘疹,疹间有正常的皮肤,面部皮疹特多,疹落后留有色素沉着斑及糠麸样脱屑。⑥血白细胞正常或减
Infectious Diseases, a trial of measles, scarlet fever, Staphylococcus aureus septicemia differential diagnosis points. A: 1, measles: ① pathogen is measles virus. ② history of measles exposure (especially within three weeks). ③ obvious upper respiratory tract inflammation and eye conjunctivitis symptoms. ④ disease period of 2 to 3 days, that is visible on both sides of the buccal mucosa mucosal plaque (Branch splash tablets) ⑤ rash mostly appear in the fourth period, the size of varying sizes, dark red rash, rash There are normal skin, facial rash and more, after the rash left pigmentation and bran-like scaling. ⑥ white blood cells normal or reduced