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1临床资料病例男孩,1岁,主因“发热2天,持续高热8小时伴皮疹”人院。查体:体温39℃,全身皮肤均可见散在紫红色皮疹,压之不褪色,略高出皮面,以颜面部及头颈部明显,颈部可及散在肿大淋巴结,最大约蚕豆大小,质软,与围皮肤无粘连,咽部充血明显,双肺呼吸音粗,心音低钝,率150次/分,腹软,肝肋下2cm触及,手足发凉,CRT4秒。入院前1天辅助检查:血常规:白细胞3.28×10 9/l,红细胞3.62X10 12/l。血红
1 Clinical data Case boy, 1 year old, mainly due to “fever 2 days, sustained fever 8 hours with rash ” hospital. Physical examination: body temperature 39 ℃, systemic skin are visible scattered purple rash, pressure of fade, slightly higher than the skin, with facial and head and neck significantly, neck and scattered lymph nodes can be scattered, the maximum about the size of broad beans, Soft, with the skin around the non-adhesion, throat congestion was obvious, lung breath sounds thick, low heart sound blunt rate of 150 beats / min, abdominal soft, liver ribs 2cm touch, hand and foot cool, CRT4 seconds. A day before admission auxiliary examination: blood: white blood cells 3.28 × 10 9 / l, red blood cells 3.62X10 12 / l. Blood red