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钱某,女,26岁,工人,因颜面部红斑、发热、脱发、关节痛一年,下腹部疼痛、尿频、尿急、尿痛一个月入院,诊断为系统性红斑狼疮、盆腔炎、泌尿系感染。给予强的松10mg每日3次,狼疮丸2丸每日两次,氟哌酸200mg每日3次以及维生素等。治疗一个月,患者红斑狼疮的症状控制的较理想,盆腔炎及泌尿系感染仍无好转,故加用泰利必妥200mg,每日2次。应用两周后因无药停用4天,复查尿常规等,盆腔炎及泌尿系感染减轻。再次服用泰利必妥200mg后约两小时,患者自觉舌体麻木,咽干烦躁,发热,周身瘙痒。查体,T40.2℃,P110次/min,BP17.3/13.3kPa,颜面潮红,双眼结膜轻度充血,颈部、前胸部可见片状红斑,边界不清,压之褪色,心肺未见异常。停用泰利必妥,给予抗组织胺药物,强的松从每日30mg加至60mg口服,10％葡萄糖
Money, female, 26 years old, workers, due to facial erythema, fever, hair loss, joint pain for one year, lower abdominal pain, urinary frequency, urgency, dysuria a month hospitalization, diagnosis of systemic lupus erythematosus, pelvic inflammatory disease, urinary Department of infection. Given prednisone 10mg 3 times a day, lupus pills 2 pills twice daily, norfloxacin 200mg 3 times a day and vitamins. Treatment for one month, the symptoms of lupus patients control more favorable, pelvic inflammatory disease and urinary tract infection is still no improvement, so add with telbital 200mg, 2 times a day. Two weeks after the application due to non-drug withdrawal for 4 days, review urine routine, pelvic inflammatory disease and urinary tract infection reduced. After taking teliopsy 200mg again about two hours, the patient conscious tongue numbness, throat irritability, fever, whole body itching. Physical examination, T40.2 ℃, P110 times / min, BP17.3 / 13.3kPa, facial flushing, mild conjunctival hyperemia, neck, chest erythema visible patches, the boundary is unclear, pressure fade, heart and lung no see abnormal. Turn off telbivudine, give antihistamine, prednisone from 30mg daily to 60mg orally, 10% glucose