Reye等于1963年阐述了急性脑病内脏脂肪变性综合征。急性呼吸道病毒感染合并本病常常被注意到,但由呼吸道合胞病毒(下简称RSV)所致者从未见报导过。现报道1例RSV合并Reye’s综合征的死亡病例病例:1岁10个月的男婴患轻微上呼吸道感染而无咳嗽和鼻卡他症状,已使用了糖浆剂治疗。病后第3天早应醒时未醒,8点半时呼吸正常,但到了9点半小孩发青、软弱无力、呼吸困难。入院后1小时患儿发生周围血管收缩、中枢性发绀、休克;收缩压60mmHg,脉搏88次/分,呼吸48次/分,仅对痛刺激有反应。呼吸浅而不规则。左肺呼吸音降低,两肺有大水泡音和呼吸性干罗音存在。肝未触及。视网膜检 Reye et al., 1963 elaborated the acute encephalopathy visceral steatosis syndrome. Acute respiratory virus infection is often noticed in patients with this disease, but never reported by the respiratory syncytial virus (RSV). A case of death from RSV with Reye’s syndrome has been reported. A 1-year-old boy of 10 months has been treated with a syrup for mild upper respiratory tract infection without cough and nostril. The third day after the illness should wake up early awake, breathing normal at half past eight, but to 9:30 half a child blue, weak, breathing difficulties. 1 hour after admission, children with peripheral vasoconstriction, central cyanosis, shock; systolic blood pressure 60mmHg, pulse 88 beats / min, breathing 48 beats / min, only painful reaction. Breath shallow and irregular. Left lung breath sounds reduced, both lungs have large blisters sound and respiratory dry rales exist. Liver not touched. Retinal examination