病历摘要病者×××,男性,3岁,因发热,阵发性抽搐14小时,昏迷、呼吸不规则7小时,于1975年5月12日入院。患儿于入院当日晨6时出现高热、寒颤、神倦、继而嗜睡,面色改变,全身阵发性抽搐,1时许呼吸促且不规则,唤之不醒。发病前否认咳嗽,呕吐和腹泻。个人史、家族史、既往史无特殊。体检:T10℃,P170次,R48次。昏迷状态,呼吸不规则,面色苍白,躯干皮肤灼热,四肢冷,瞳孔左侧6mm;右侧4mm,对光反射消失,双眼眶下陷,颈软,心音低钝,双侧肺底部可闻密集湿罗音。肝右 Medical summary of the patient × × ×, male, 3 years old, due to fever, paroxysmal convulsions 14 hours, coma, irregular breathing 7 hours, was admitted on May 12, 1975. At 6:00 on the day of admission, the child developed fever, chills, and tiredness, then drowsiness, complexion and paroxysmal convulsions at 1 o’clock, irregular breathing at 1 o’clock and unconsciousness. Pre-onset denied cough, vomiting and diarrhea. Personal history, family history, no previous history. Physical examination: T10 ℃, P170 times, R48 times. Coma, irregular breathing, pale, burning skin and torso, cold limbs, left pupil 6mm; right 4mm, the light reflection disappeared, eyes subsidence, soft neck, low heart sound blunt, Luo sound. Right liver