患儿刘××,男,12岁,于85年4月12日住院。患儿因不规则发热6d伴全身多发性脓肿4d入院,同时有咳嗽、咳痰、胸痛、咯血。发热达40℃,发病第3d出现左手2～5指尖及手掌发黑,左手背4～5个小疖肿,同时有下肢及腹部不适,呕吐及解黑便一次,小便色黄,呈茶色。既往无类似病史,2年前曾患过疟疾已治愈。 体检:T39℃、P136次/分、R45次/分、发育正常、消瘦貌、急性痛苦面容,呼吸急促,精神萎靡、被动体位,皮肤粘膜未见黄染,浅表淋巴结无明显肿大,头颅 Children Liu × ×, male, 12 years old, was hospitalized on April 12, Children with irregular fever 6d with systemic multiple abscess 4d admission, while coughing, expectoration, chest pain, hemoptysis. Fever up to 40 ℃, the incidence of the first 3d left hand appears 2 to 5 fingertips and palm black, left back 4 to 5 small boils, at the same time lower extremities and abdominal discomfort, vomiting and black solution once, urine yellow, brown . No previous history of similar, two years ago had been cured of malaria has been cured. Physical examination: T39 ℃, P136 beats / min, R45 beats / min, normal development, skinny appearance, acute painful face, shortness of breath, apathetic, passive posture, no visible yellow skin and mucous membranes, superficial lymph nodes no significant enlargement,