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患儿,女,13岁。因背痛,腹痛、呕吐伴发热一天,于1989年6月13日入院。体检:体温38℃,血压16.0/9.33kPa,神清,急性面容,全身皮肤潮红,咽红,球结膜充血,呼吸急促,两肺呼吸音粗,右肺少许哮鸣音,心率110次/分,律齐,腹软,肝脾未触及,脐周轻微压痛。实验室检查:白细胞13.7×10~9/L,中性粒细胞0.94,淋巴细胞0.05,嗜酸性粒细胞0.01,二氧化碳结合力7.54mmol/L,尿素氮4.31mmol/L,尿淀粉酶16温氏单位。胸片(一)。拟为“上感”给予青霉素,氟哌、补液纠酸等对症处理未见效。入院第二天发现患儿腰背部、臀部、两大腿屈面、肘关节伸面有散在
Children, female, 13 years old. Due to back pain, abdominal pain, vomiting with fever one day, on June 13, 1989 admission. Physical examination: body temperature 38 ℃, blood pressure 16.0 / 9.33kPa, Shen Qing, acute face, systemic skin flushing, throat red, conjunctival hyperemia, shortness of breath, rough breath sounds of both lungs, right lung a little wheeze, heart rate 110 beats / min , Law Qi, abdominal soft, liver and spleen not touched, umbilical tenderness. Laboratory tests: white blood cells 13.7 × 10 ~ 9 / L, neutrophils 0.94, lymphocytes 0.05, eosinophils 0.01, carbon dioxide binding 7.54mmol / L, urea nitrogen 4.31mmol / L, urinary amylase 16 Winchester unit. Chest radiograph (a). To be “on the flu” given penicillin, haloperidol, fluid correction acidosis and other symptomatic treatment not effective. On the second day after admission, children were found to have lumbar and back, buttocks and two thigh flexors, scattered elbows