报道青霉索治疗缓症链球菌所致类猩红热７６例发生赫氏反应。临床表现为首次应用青霉素１～２小时后出现畏寒、寒战、高热，血压下降或休克，腹痛，恶心、呕吐，腹泻水样便等毒性症状，反应时体温高峰持续２～５小时。应用肾上腺皮质激素及镇静、抗过敏治疗可缓解或减轻赫氏反应。缓症链球菌，类猩红热，青霉素，赫氏反应 Reported Penicillin treatment of Streptococcus mutans caused by scarlet fever 76 cases of Hertzian reaction. Clinical manifestations of the first application of penicillin 1 to 2 hours after a chills, chills, fever, blood pressure or shock, abdominal pain, nausea, vomiting, diarrhea, watery and other toxic symptoms, the reaction peak temperature for 2 to 5 hours. Application of adrenal cortex hormones and sedation, anti-allergy treatment can alleviate or reduce Heath’s reaction. Streptococcus mutans, class scarlet fever, penicillin, Herziation reaction