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患儿女性,8岁,因发热咳嗽一周,出现皮疹3日,呼吸急促1日,于1965年2月26日入院。入院时体温37.4℃,呼吸困难,喉有痰鸣,口唇紫绀,鼻翼搧动,烦躁不安。结膜充血分泌物多,全身皮肤隐现暗红色斑点疹,两肺有湿性啰音及捻发音,心音快速。白细胞7,100,中性64%,淋巴28%,单核8%。诊断为麻诊肺炎。给予青霉素、输液及一般对症治疗。27日,患儿安静,呼吸稍急促,体温39.5℃,全身显露红色斑丘疹,部分融合成片。28日上午,病情突然恶化,出现极度呼吸困难,痰鸣粗响,面色青灰,四肢厥冷,体温不升。皮肤
Children, 8 years old, cough for one week due to fever, rash on the 3rd, shortness of breath on the 1st, on February 26, 1965 admission. Admission temperature 37.4 ℃, dyspnea, throat phlegm, cyanotic lips, nose flap, irritability. Conjunctival hypersecretions and more, the body showed dark red skin spots rash, both lungs have wet rales and twisting sounds, heart sound fast. WBC 7,100, Neutral 64%, Lymph 28%, Mononuclear 8%. Diagnosis of measles pneumonia. Give penicillin, infusion and general symptomatic treatment. On the 27th, the child was quiet and had a slight breathing shortness of breath. The body temperature was 39.5 ℃. The whole body showed red rash and part of it was integrated into a piece. On the morning of the 28th, his condition suddenly deteriorated. He experienced extreme difficulty in breathing, loud phlegm, pale blue-green, cold limbs, and no increase in body temperature. skin