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病历摘要 患儿,女,22个月,1982年6月2日住院,1982年6月5日死亡。主诉:高热、面色苍白3天。3天前流涕,微咳,体温持续在39～40℃,轻度恶心,未吐,大便呈糊状,2～3次/日,面色逐日苍黄,神萎,纳差,尿少,色黄,注射青霉素3天无效,以“上感”及“贫血原因待查”入院。患儿系G_1P_1,足月顺产,母乳喂养,父母健康,非近亲结婚。入院时体检:体温39℃,呼吸76次,精神萎糜,面色苍黄,皮肤无黄染及出血点,浅表淋巴结仅于颌下可扪及,黄豆大小,前囟已闭,巩膜无黄染,咽轻度充血,扁桃体稍红。心率200次,律齐,心尖部Ⅱ级收缩期杂音,双肺呼吸音粗糙,
Patient, female, 22 months, admitted to hospital on June 2, 1982, and died on June 5, 1982. Chief complaint: high fever, pale 3 days. 3 days ago, runny nose, cough, body temperature continued at 39 ~ 40 ℃, mild nausea, vomiting, stool was pasty, 2 to 3 times / day, looking pale day by day, Shennian, anorexia, oliguria, Yellow, 3 days injections of penicillin invalid, “the sense of” and “the cause of anemia to be admitted”. Children with G_1P_1, full-term follow-up, breastfeeding, parental health, non-relatives get married. Physical examination on admission: body temperature 39 ℃, breathing 76 times, spiritual wilt, pale yellow, yellow skin and bleeding spots, superficial lymph nodes only submaxilla palpable, the size of the soybean, the anterior fontanelle closed, the sclera no yellow dye , Mild pharyngeal congestion, tonsil slightly red. Heart rate 200 times, law Qi, apical systolic murmur level, lung sounds rough breathing,