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我院曾遇暴发型肝炎误诊麻疹1例报道如下。病历摘要患儿男,15个月,因发烧8天,出疹4天由外院以“麻疹”于1979年12月8日转入我院。患儿于12月1日开始发热、轻咳、流涕、咽红,烧4日后胸背部有细小红疹,拟诊“麻疹”,曾用土霉素和甲氧苄氨嘧啶(TMP)治疗,病情未见好转,纳差、嗜睡和气急。患儿发病前一周曾注射麻疹活疫苗,无麻疹和病毒性肝炎接触史。查体:体温40。3℃(肛表),呼吸72次,发育尚可,营养欠佳,神清,精神萎靡,躯干部皮肤可见红点状丘疹,压之不褪色,颈软,巩膜无明显黄染,瞳孔等大,心率212次,
In our hospital, one case of misdiagnosis of measles due to fulminant hepatitis was reported as follows. Medical records Male children, 15 months, 8 days due to fever, rash 4 days outside the hospital to “measles” on December 8, 1979 transferred to our hospital. Children with fever on December 1, light cough, runny nose, throat, burning 4 days after the chest and back with a small rash, to be diagnosed with “measles”, had used oxytetracycline and trimethoprim (TMP) treatment , The condition did not improve, anorexia, lethargy and shortness of breath. The measles vaccine was given a week before the onset of the disease and no history of measles or viral hepatitis exposure. Physical examination: Body temperature 40.3 ℃ (anal surface), breathing 72 times, the development is acceptable, poor nutrition, clear spirit, apathetic, red spots pimples visible on the trunk of the body, the pressure of non-fading, neck soft, sclera Obvious yellow dye, pupils and other large, heart rate 212 times,