女,6岁。因突然昏迷、喉有痰鸣且逐渐加重3小时入院。入院前2天患儿左下腹部出现一个红斑,傍晚发展成7×2cm的疱疹。入院前一天上午仍玩耍,下午2时腹痛,尚能忍受,不吐,下泻。入院当日晨不能起床,躯干多个大水疱,多数已溃破,11时左右意识开始丧失,喉有痰鸣,且逐渐加重。查体:体温37.8℃,呼吸45次/分,脉搏120次/分。急性重病容,面色青灰,两眼上翻,眼球固 Female, 6 years old. Due to a sudden coma, throat phlegm and gradually increased 3 hours admission. Two days before admission, there was one erythema in the left lower abdomen of children and 7 × 2cm of herpes in the evening. The day before admission is still playing in the morning, abdominal pain at 2 pm, still able to endure, do not spit, diarrhea. The morning of admission can not get up on the morning, a number of large blisters on the trunk, the majority have been ulcerated, about 11 o’clock began to lose consciousness, throat phlegm, and gradually increased. Physical examination: body temperature 37.8 ℃, breathing 45 beats / min, pulse 120 beats / min. Acute serious illness, looking blue and gray, his eyes up, the eye solid