论文部分内容阅读
带状疱疹为临床常见病,但早期临床症状不典型,极易误诊。现将误诊早期带状疱疹3例,报告如下。 例1女,52岁。右上腹阵发性疼痛1天,伴恶心、呕吐。既往有“胆囊炎”病史。查体:右上腹有触痛,余无异常。诊断为“胆囊炎’,予服消炎利胆片,氨苄青霉素6.0/d静滴,翌日复诊,见右上腹有成簇的米粒至豆粒大小的红色丘疹。转皮肤科按“带状疱疹”治疗后痊愈。 例2男,24岁。诉左侧头面部疼痛一周,发根不能触摸,伴左眼痛。查体:眼、耳、鼻未见异常。诊断为“三叉神经痛”,对症治疗3天后沿三叉神经左上支分布区出现红色丘疹,同时左眼结膜充血刺痛。而后许多皮疹迅速变成小水泡,聚集成簇,按“带状疱疹”治疗后痊愈。 例3女,72岁。一周前因感冒、发热、乏力服感冒药
Shingles clinical common disease, but atypical early clinical symptoms, easily misdiagnosed. Misdiagnosis of early herpes zoster in 3 cases, the report is as follows. Example 1 Female, 52 years old. Right upper quadrant paroxysmal pain 1 day, with nausea and vomiting. Past history of “cholecystitis”. Physical examination: right upper quadrant tenderness, no abnormalities. Diagnosed as “cholecystitis”, to be given anti-inflammatory gallbladder tablets, ampicillin 6.0 / d intravenous infusion, the next day referral, see the right upper quadrant with clusters of rice to bean size red papules. Dermatology according to “shingles” treatment After the recovery .Example 2 male, 24 years old .Visit the left side of the head and face pain for a week, hair root can not touch, with left eye pain .Check the body: eyes, ears, nose no abnormality .Diagnosed as “trigeminal neuralgia”, symptomatic treatment Three days later, the red papules appeared along the left superior branch of the trigeminal nerve, while the left conjunctival hyperemia and tumefaction .After that, many rashes quickly became small blisters and clustered into clusters following the treatment of “shingles.” Example 3 Female, 72 years old A week ago because of a cold, fever, fatigue cold medicine