麻疹患儿併发网織紅細胞增多症的报告較少,特将所見一例报告如下: 患儿男性,18个月,泉州人,因麻疹后持續发烧六天,于1964年7月2日入院。一周前患儿开始发烧、流涕、打噴嚏。两日后出現皮疹,院外診断为麻疹,服中西药体温持續不退,伴有咳嗽、精神不振,时有哭吵不安。四日前开始腹泻,蛋花湯样稀便,每日十余次不等。因治疗无效来本院求治住院。入院检查;神清,发育和营养正常,稍倦,无气促发绀,全身皮肤有色素沉着,咽紅,心正常,两肺呼吸音粗,左背部有少許湿囉音,腹软,肝刚触及,脾未触及。体温38℃。白細胞16,600,中性86％,淋巴12％。大便脓球艹,紅細胞少許。当时診断为麻疹后肺炎及腸炎。应用青、鏈霉素及痢特灵治疗。4日后发現小儿面色蒼白,无黄染,呼吸困难,一般情况极差。血像:紅細胞93万,血紅蛋白3克％,白細胞14,800,中性67％,淋巴24％,单核4％,嗜酸细胞2％,异形淋巴2％,有核紅細胞1％,血小板20万,网織紅细胞12.8％。給与输血与氢化考的松静脉滴入治疗。7月10日再度检 Reported cases of measles children with reticulocytosis less, especially the one seen in the report are as follows: Male children, 18 months, Quanzhou, due to persistent fever after measles for six days, on July 2, 1964 admitted. A week ago, the child started to have a fever, runny nose and sneezed. A rash occurred two days later. Hermosa was diagnosed as measles. Her body temperature in both Chinese and western medicine continued to rise and her cough was accompanied by lack of energy. Four days ago began diarrhea, egg drop soup loose stools, more than ten times a day. The hospital for treatment invalid because of treatment. Admission examination; God clear, normal development and nutrition, a little tired, no gas to promote cyanosis, systemic skin pigmentation, throat, normal heart, both lungs sound rough tone, left back a little wet rales, abdominal soft, liver just Touch, spleen not touched. Body temperature 38 ℃. WBC 16,600, Neutral 86%, Lymph 12%. Stool pus ball 艹, a little red blood cells. Measles was later diagnosed with pneumonia and enteritis. Application of green, streptomycin and furazolidone treatment. 4 days later found that children pale, no yellow dye, breathing difficulties, the general situation is poor. Blood like: 930,000 red blood cells, 3 grams of hemoglobin, white blood cells 14,800, 67% of neutral, lymphatic 24%, mononuclear 4%, 2% of eosinophils, abnormal lymphoid 2%, 1% of nucleated red blood cells, Reticulocyte 12.8%. Give blood transfusion and hydrocortisone test of pineal infusion therapy. July 10 again seized