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病历摘要徐姓,女孩,五岁,南昌人,住院号13824,于1958年11月2日因腹泻一月余,发热咳嗽十多天,出疹一周,气逼五天入省儿童医院求治. 患儿于同年8月起,右脸部生一指头大疖肿,一直未愈,一个月前开始泻红白粘液便,粘液较多,日5-8次,有里急后重,不觉发热,精神食欲均如常.入院前十多天来发热咳嗽,开始时流涕流泪,喉有痰响,经三天即出皮疹,先脸部,渐躯干四肢,疹不多,色欠鲜艳,从此食欲不好,进食少而腹泻未止,七八天卧床不起,气逼及声嘶已5-6天,似有日见加重之势,入院前日发热气逼更甚,并呈昏睡状.
Medical record Abstract Xu, girl, five years old, Nanchang people, hospital number 13824, November 2, 1958 more than a month due to diarrhea, fever cough for more than 10 days, a week rash, forced five days into the Children’s Hospital for treatment. Children in August the same year, the right face gave birth to a finger big swollen, has been unhealed, a month ago began to red and white mucus will be, mucus more, 5-8 times, with tenesmus, fever, the spirit Appetite are as usual .Cultivate more than ten days before admission cough, the beginning of runny nose tears, phlegm throat ring, after three days a rash, the first face, gradually trunk limbs, rash, color less bright, from appetite Well, eating less and diarrhea has not stopped, seven or eight days bedridden, forced and hoarseness has 5-6 days, it seems that the increasing trend of the day before admission, the heat even more force, and was drowsy.