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患者:熊毕云,女,18岁,已婚,农民。因发热6天,气短、皮疹3天,于1989年12月30日入院。患者于1989年12月24日无诱因出现发热,体温达39℃,伴畏光、流泪、喷嚏等症状。3天后出现咳嗽、气短,并在耳后、面、颈、胸腹、四肢等处先后出现皮疹。未特殊治疗。症状逐渐加重,来诊。拟“麻疹合并肺炎”收住。既往无麻疹病史及麻疹疫苗接种史。查体:体温38.2℃,脉搏126次/分,呼吸24次/分,血压12.0/8.0kPa。呼吸急促,神志清楚,全身皮肤可见散在红色斑丘疹,局部密集融合,压之退色。周身浅表淋巴结不肿大。口腔粘
Patient: Xiong Biyun, female, 18 years old, married, farmer. Due to fever for 6 days, shortness of breath, rash 3 days, on December 30, 1989 admission. Patients on December 24, 1989 no incentive to fever, body temperature of 39 ℃, with fear of light, tearing, sneezing and other symptoms. 3 days after the cough, shortness of breath, and in the ear, face, neck, chest and abdomen, limbs, etc. there have been rashes. No special treatment. Symptoms gradually increased, to the clinic. Proposed “measles with pneumonia” to receive. No previous history of measles and measles vaccination history. Physical examination: body temperature 38.2 ℃, pulse 126 beats / min, breathing 24 beats / min, blood pressure 12.0 / 8.0kPa. Shortness of breath, conscious, the body visible scattered red skin rash, localized fusion, the pressure of the fade. Superficial lymph nodes throughout the body does not enlarge. Oral sticky