论文部分内容阅读
患儿男,3个月。以生后间断性高热3个月之主诉,于1995年6月27入院。患儿于生后半天即出现无原因的高热,体温达40℃左右,住当地医院经抗感染、补液、物理降温后好转出院。此后,反复出现上述高热,体温曾达41℃,抽风1次。患儿无咳嗽、气喘、呕吐及腹泻等症状。每次发热后住院经补液、物理降温、凉水擦浴后体温可降至正常,食欲、精神均尚好,但从未见出汗。患儿系4胎4产,足月顺产,两个哥哥生后均与患儿一样,无原因高热,一个于生后3d、另一个于生后12d均因高热死亡,其姐健在,无类似病史。父母系近亲结婚。体检:
Children male, 3 months. To postpartum intermittent fever 3 months of chief complaint, admitted in June 1995 27. Children in the half days after birth there is no reason for fever, body temperature reached 40 ℃, live in the local hospital after anti-infective, fluid replacement, physical cooling improved after discharge. Since then, the repeated high fever, body temperature had reached 41 ℃, ventilation 1 time. Children without cough, asthma, vomiting and diarrhea and other symptoms. After each fever, the hospital was rehydrated, physical cooling, body temperature after cooling water bath can be reduced to normal, appetite, the spirit is still good, but never seen sweating. Children with 4 births 4 births, full-term natural delivery, two older children are the same with children after birth, no reason for fever, one in postnatal 3d, the other died after 12 days due to high fever, and her sister is healthy, no similar Medical history. Parents get married. Physical examination: