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患儿,10岁,于入院前半个月始发热,2日后身出红疹,4～5日后疹退有大块脱屑,继有低热,近2～3日两下肢又出红疹,伴有呕吐,为胃内容,腹疼并排柏油样大便。曾按胃肠疾患治疗,不见好转,遂来我院诊治。体检 T37℃,P60次/分,R20次/分,BP18.62/11.9kPa(140/90mmHg),体重30kg。神志清,精神差,发育良好,营养中等,面色苍黄,自动体位,双眼睑浮肿,鼻腔内少许血迹,咽充血,扁桃体Ⅱ°肥大,心肺(-),腹软,肝脾未触及,上腹有轻压疼,臀部及双下肢可见散在红色出血
Children, 10 years old, were feverish in the first half of admission. After 2 days, they developed rash. After 4 to 5 days, rash retreated with large desquamation. Following the fever, Accompanied by vomiting, stomach content, abdominal pain side by side like stool. Gastrointestinal disorders have been treated, no improvement, then came to our hospital for diagnosis and treatment. Physical examination T37 ℃, P60 beats / min, R20 beats / min, BP18.62 / 11.9kPa (140 / 90mmHg), weight 30kg. Sense of consciousness, poor spirit, well-developed, moderate nutrition, pale yellow, automatic position, double eyelid edema, a little blood in the nasal cavity, pharyngeal congestion, tonsil Ⅱ ° hypertrophy, cardiopulmonary (-), abdomen, liver and spleen not touched, A light pressure pain, buttocks and lower extremity visible scattered red bleeding