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曹××,男性,22岁,战士。因发热、咳嗽4天,出皮疹1天,于1977年7月6日入院。患者于1977年7月2日发热,体温38.5°～40.5℃,头晕,畏光,咳嗽,纳差。7月6日,前额部、颈部皮肤出现红丘疹,继而胸背部皮肤出疹。便溏,1日3次,起病后曾服过土霉素8片,感冒片12片,肌注复方冬眠灵1支。体检:发热病容,神志清楚,答话切题,血压124/76。面、颈部及躯干部皮肤有散在红丘疹,有的丘疹密集连成片,边缘不清,眼结膜充血,咽红,扁桃体不肿大。在颊粘膜可见麻疹粘膜斑。颈软,心脏听诊无异常。左肺听诊呼吸音稍粗糙。肝脾不肿大,神经系统检查未引出病理反射。平素身体健康,本人否认有精神病史。化验:血常规:白细胞4,100,中性62%,淋
Cao XX, male, 22 years old, warrior. Due to fever, cough for 4 days, a rash 1 days, on July 6, 1977 admission. Patients on July 2, 1977 fever, body temperature 38.5 ° ~ 40.5 ℃, dizziness, photophobia, cough, anorexia. July 6, the Ministry of the forehead, neck skin, red papules, followed by chest and back skin rash. Freelander, 3 times on the 1st, after onset had taken oxytetracycline 8 tablets, 12 tablets of cold, intramuscular injection of compound 1 winter dormant spirit. Physical examination: Fever, conscious, answering the question, blood pressure 124/76. Surface, neck and trunk skin scattered red papules, and some even dense papules into pieces, unclear edge, conjunctival hyperemia, throat, tonsil does not enlarge. Measles mucosal spots visible in the buccal mucosa. Neck soft, auscultation without heart abnormalities. Left lung auscultation breath sounds slightly rough. No enlargement of liver and spleen, neurological examination did not lead to pathological reflex. Generally healthy, I have denied a history of mental illness. Laboratory tests: blood: WBC 4,100, neutral 62%, leaching