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病例一,李××,女性,一岁半,本年1月9日入院. 患儿五天前起病,咳嗽、微热、流涕、食欲欠佳.2日后然退,但咳嗽加剧,流涕如前,并有呕吐,大便日5-6次,呈白色粘液状,精神极差而入院(患孩既往未患过麻疹,最近也未经过预防注射). 检查:体温36.8℃,精神欠佳,呼吸稍促,皮肤干燥,未见出血点及皮疹,眼结膜充血,畏光流涕,口腔、咽粘膜充血,可见科泼力克氏斑,扁桃体稍大.听诊:心、肺无异常,肝脾未触及.白血球5800,中性57%,淋巴41%,单核1%,伊红1%.大便常规:黄色粘液便,脓球(+)红血球0-4,肠滴虫0-3.尿常规阴性.入院诊断:①
Case 1, Lee × ×, female, one year and a half, admitted to hospital on January 9 this year, the patient onset five days ago, cough, mild fever, runny nose, poor appetite .2 days later retreat, but the cough worsened, Runny nose as before, and vomiting, stool 5-6 times, was a white mucus-like, poor spirits and admission (children never had measles, and recently have not been injected.) Check: body temperature 36.8 ℃, the spirit Poor breathing, shortness of breath, dry skin, no bleeding spots and rashes, conjunctival hyperemia, photophobia, oral cavity, pharyngeal mucosa congestion, , Liver and spleen not touched.Leukocyte 5800, neutral 57%, lymph 41%, mononuclear 1%, eosin 1% stool routine: yellow mucus, pus (+) red blood cells 0-4, trichomoniasis 0- 3. Negative urine routine. Admission diagnosis: ①