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病例报告患儿,男,14天,因发热,咳嗽5天,全身皮疹、气喘3天,于1987年2月8日入院。当地麻疹流行;其母产前发热,分娩后第3日出麻疹。患儿为第1胎足月顺产,生后一般情况尚好,人工喂养。体检;体温37℃,呼吸52次/分,心率134次/分。发育正常,神志清,反应差。呼吸急促,口周青紫。全身见散在红色斑丘疹,躯干部融合成片,压之退色。眼结膜充血,口腔粘膜见麻疹粘膜斑,咽部充血。两肺可闻及细湿啰音囊羯杏辛?未闻杂音。肝右叶肋下3厘米,质软。白细胞5 600,分叶核55,淋巴45。胸片示两肺点片状模糊阴影。入院拟诊为新生儿麻疹并肺炎、心功能不全。入院后予氨苄青霉素、红霉素、毒毛旋花苷K及对症治疗,次日病情好转,第3日皮疹始消退,第
Case report Children, male, 14 days, due to fever, cough 5 days, systemic rash, asthma 3 days, on February 8, 1987 admitted. The local measles epidemic; its mother before the fever, measles rash on the 3rd after childbirth. Children with first-term full-term pregnancy, after birth, the general situation is good, artificial feeding. Physical examination; body temperature 37 ℃, breathing 52 beats / min, heart rate 134 beats / min. Normal development, consciousness, poor response. Shortness of breath, mouth week bruising. See the whole body in the red rash, body parts merged into a film, the pressure of the fade. Conjunctival hyperemia, oral mucosa see measles mucosal spots, throat congestion. Two lungs can be heard and fine wet rales capsule Jiexing Xin? Not heard noise. Right lobe rib 3 cm, soft. White blood cells 5 600, leaf nuclear 55, lymph 45. Chest radiograph shows two shadows flaky patches. Admitted to hospital diagnosed as neonatal measles and pneumonia, cardiac insufficiency. After admission to ampicillin, erythromycin, poisoned hair convolvulus K and symptomatic treatment, the next day the condition improved, the first 3 days subsided rash, the first