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病历摘要患儿马姓,女孩,4岁,门诊号5,988。1957年4月6日因发热、咳嗽、流眼泪、流鼻涕三天而来就诊。此时正值本地区麻疹大流行之时(其妹于6天前患麻疹,由本院小儿科确诊,今次随来尚有糠枇状脱屑及留有棕色斑痕)。检查:体温38.9℃,神志清醒,发际、耳后、前额部均有红色小丘疹,大小1—2毫米,压之退色。颈及枕后淋巴结可触及,无压痛,结膜充血、羞明,两颊粘膜附近臼齿处有费拉托夫-科泼力克氏斑点(白色小点,绕以红晕),甚为明显。咽部充血,扁桃体可见,无渗出物。心肺正常,肝、脾未扪及,白血球6,100,淋
Medical records Abstract Child surname, girl, 4 years old, outpatient number 5, 988. April 6, 1957 due to fever, cough, tears, runny nose for three days treatment. At this juncture, at the time when the measles pandemic was endemic in the region (its sister had measles 6 days earlier and was diagnosed by our pediatrics department this time there was bran-lobed scaling and brown spots left behind. Check: body temperature 38.9 ℃, conscientious, hairline, ears, the frontal red papules are all sizes 1-2 mm, the pressure of the fade. Neck and occipital lymph nodes can be touched, no tenderness, conjunctival hyperemia, shame, buccal mucosa near the molars Ferrarav-Coppirinke’s spot (white dots around the flush), is very obvious. Pharyngeal hyperemia, tonsil visible, no exudate. Cardiopulmonary normal, liver, spleen not palpable, white blood cells 6,100, leaching