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患儿,男,1(3/12),于入院前13天出现咳嗽、清涕、眼红、流旧,伴高热,3天后患儿胸背腹面颈及双上下肢皮肤出现紫红色斑疹及水疱疹,以眼睑口腔及外生殖器明显。有畏光、流泪、吞咽困难和小便困难,同时伴咳嗽、气促、鼻翼搧动及唇周发绀和皮肤巩膜黄染。当地医院诊断为“麻疹合并肺炎”。给予地塞米松、青霉素治疗7天,咳嗽、气促、紫绀明显好转,皮疹开始结痂。但黄疸呈进行性加重,高热持续不退,小便呈浓茶色,纳极差。检查:T39℃,R30次/分,P130次/分。全身皮肤弥散性紫红色斑疹、糜烂、结痂并大片脱屑。眼部、鼻及尿道口均有糜烂渗出物及血痂。口腔粘
Children, male, 1 (3/12) had cough, clear tears, red eyes, old ones with high fever 13 days before admission, and purple skin rashes on the thoracodorsal ventral neck and the upper and lower extremities in 3 days Water blisters, with the eyelid oral and external genital obvious. Have photophobia, tearing, difficulty swallowing and urination, accompanied by cough, shortness of breath, nose flap and lip cyanosis and scleral yellowish skin. Local hospital diagnosed as “measles with pneumonia.” Give dexamethasone, penicillin treatment for 7 days, cough, shortness of breath, cyanosis significantly improved, the rash began to scab. However, progressive jaundice was exacerbated, high fever continued unabated, urine was dark brown, very poor. Check: T39 ℃, R30 times / min, P130 times / min. Whole body skin disseminated purplish red rash, erosion, crusting and large desquamation. Eye, nose and urethra have erosion exudate and blood scab. Oral sticky