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患儿,2岁。住院前8天,突然出现高热,体温达41℃,按上呼吸道感染治疗,次日下午出现双手背、尾骨部皮肤、双大腿内侧出现粟粒状皮疹,触及粗糙感,部分连接成片,约3天消退。纳差、进水量少,时有呕吐,量少为胃内容物,呈非喷射性,持续2天后消失。咳嗽无痰。第3天手足掌跖侧如胭脂红色,3～4天后消退而皮肤变硬。自出疹后精神差,左侧颈部枣大小包块约2天消退。第4天出现腹泻每日6～7次,无脓血。曾肌肉注射青霉素、链霉素,静脉滴注氢化考地松等4天体温仍持续不降转入我院。体检:体温39.7℃,脉搏120次/分,呼吸24次/分,血压12.0/8.0kPa。神萎,呈嗜睡状态,时有烦躁哭闹。尾部及
Children, 2 years old. 8 days before admission, a sudden onset of fever, body temperature up to 41 ℃, according to the upper respiratory tract infection treatment, the afternoon of the afternoon appeared both hands back and tail skin, two inner thighs appear miliary rashes, touch the rough sense of part connected into a film, about 3 Days subsided. Anorexia, less water, when vomiting, the amount of less stomach content, was non-jet sex, disappeared after 2 days. No cough and sputum. Day 3 plantar palm plantar side, such as carmine, 3 to 4 days after the subsided and the skin hardens. Poor spirit since the rash, the left neck jujube packet about 2 days subsided mass. The first 4 days of diarrhea daily 6 to 7 times, no abscess blood. Had intramuscular injection of penicillin, streptomycin, intravenous infusion of cortisol and other 4 days body temperature continued to fall into our hospital. Physical examination: body temperature 39.7 ℃, pulse 120 beats / min, breathing 24 beats / min, blood pressure 12.0 / 8.0kPa. Shen Wei, drowsiness, irritability crying. Tail and