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患儿张×,男,10个月。病案号:147272。于1980年5月12日急诊入院。主诉颌下部肿痛,发烧,全身皮肤红疹3天,患儿于起病前2天曾有咳嗽,流涕,后发现颌下有一硬结,触痛,全身发烧,在门诊给予输液,肌注青霉素,后因全身出现红疹而停用青霉素,随后体温升至40℃,颌下肿胀迅速扩大至颈部,张口、吞咽困难。体检:T38.5℃,R40,P140,化验检查:白血球总数26320,中性81%,淋巴19%,其它无异常。
Children × ×, male, 10 months. Case number: 147272. On May 12, 1980 emergency admission. The main complaint of submandibular swelling and pain, fever, systemic skin rash 3 days, 2 days before onset in children had cough, runny nose, and found a submaxillary induration, tenderness, fever, given infusion in the clinic, intramuscular injection Penicillin, penicillin was discontinued due to systemic rash and then body temperature rose to 40 ° C. Submandibular swelling swelled rapidly to the neck, mouth and swallowing difficulties. Physical examination: T38.5 ℃, R40, P140, laboratory tests: the total number of white blood cells 26320, 81% neutral, lymph 19%, the other no abnormalities.