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病例报告白××,男性,7岁,1979年2月26日入院。患儿二十天前开始不规则发热,恶心呕吐,胃纳减退,全身无力,自觉心慌、心前区不适及胸骨后闷痛。五天后排脓血便,疑诊肝炎,应用葡萄糖及维生素丙治疗,未见好转。四天来出现发作性抽搐,并日渐加重而入院。既往健康,半年前有密切肝炎接触史。体格检查:体温37.8℃,脉搏115次/分,呼吸18次/分,血压100/70毫米汞柱。脱水外观,浅昏迷状态。面部肌肉及右上肢呈持续性痉挛,余肢体偶有痉挛发作。皮肤黄染,无出血点。住院第六天在右膝关节外上方、上腹部及颅骨枕部皮肤均可见斑丘疹,初为红润、逐渐变为铜褐色,凸于皮面。
Case Report White × ×, male, 7 years old, admitted to hospital on February 26, 1979. Twenty days before the onset of irregular fever in children, nausea and vomiting, decreased appetite, general weakness, conscience palpitation, precordial discomfort and post-sternal boring pain. Pai pus five days later, suspected hepatitis, the application of glucose and vitamin C treatment, no improvement. Four days to episodes of seizures, and gradually increased admission. Past health, six months ago, there is a close history of hepatitis exposure. Physical examination: body temperature 37.8 ℃, pulse 115 beats / min, breathing 18 beats / min, blood pressure 100/70 mm Hg. Dehydrated appearance, shallow coma state. Facial muscles and right upper quadrant spasm was persistent, spasms occasionally spasm. Yellow skin, no bleeding point. The sixth day of hospitalization in the right knee outside the top of the abdomen and cranial occipital skin rash can be seen at first as a rosy, gradually become brown, convex in the leather.