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【病例1】女,4岁,体质量19.5 kg。因口腔溃烂3d伴手足皮疹1 d,于2011年8月16日以手足口病收住我院。入院时检查:t37.3℃,P 100次·min~(-1),R 26次·min~(-1);神清,精神可;手心、足底、臀部均可见丘疹、疱疹,口腔软腭、口唇内见溃疡;胸廓正常;HR 100次·min~(-1),律齐,无杂音;双肺呼吸音正常;腹软,肝脾肋下未及;四肢及关节无异常。血常规:白细胞5.12×10~9·L~(-1),中性粒细胞47.0%,嗜酸粒细胞1.1%,C-反应蛋白2.10mg·L~(-1)。入院后予头孢替安(商品名:替他欣,哈药集团制药总厂,批号B201102332,每瓶1.0g)1.0 g+0.9%氯化钠注射剂100 mL,iv gtt,qd,60 min滴完;利巴韦林0.18 g+
[Case 1] Female, 4 years old, body mass 19.5 kg. Due to oral ulceration 3d with hand-foot rash 1 d, on August 16, 2011 to accept hand-foot-mouth disease hospital. On admission examination: t37.3 ℃, P100 times · min ~ (-1), R26 times · min ~ (-1); Shen Qing, spirit can; palm, plantar, buttocks are visible papules, herpes, oral Soft palate, ulcers in the lips; normal thoracic; HR 100 times · min ~ (-1), regular Qi, no noise; normal lung breath sounds; abdominal soft, liver and spleen rupture; limbs and joints without exception. Blood: white blood cells 5.12 × 10 ~ 9 · L ~ (-1), neutrophils 47.0%, eosinophils 1.1%, C-reactive protein 2.10mg · L -1. After admission to the cefotiam 100ml, iv gtt, qd, 60 min drip end (trade name: for him Xin, Harbin Pharmaceutical Group Pharmaceutical Factory, batch number B201102332, 1.0g per bottle) 1.0 g + 0.9% sodium chloride injection Ribavirin 0.18 g +