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患者,女,30岁,已婚,云南省德宏州盈江县人,因间断性发热,面部疼痛5天,全身红斑水疮2天,于2000年 9月 13日急诊以“发热待查,药物性皮炎”收入院。该患者5天前无明显诱因出现间断性发热、疼痛,体温未测,自用头孢氨苄胶囊及止痛药(不详),病情未见好转,渐出现皮肤红斑、肿胀、水疮、口腔及外阴粘膜糜烂,给予抗菌素、激素治疗无效,病情加重,出现意识不清、嗜睡、呼吸急促、血压下降等症状,14日转呼吸病房抢救。查体:T39.2℃,P124次/min,R36次/min,BP10/6kPa。发育正常,营养差,抬入病房,重症病容,嗜睡状态,浅表淋巴结无肿大。呼吸困难,急促,双肺可闻及痰鸣音,两肺底小水疱音,心率快速,无杂音。腹软,肝脾未触及。生理反射存在,病
The patient, female, 30 years old, married, Yingjiang County, Dehong Prefecture, Yunnan Province, due to intermittent fever, facial pain for 5 days, systemic erythema water sore for 2 days, on September 13, 2000 emergency to “check fever , Drug dermatitis ”income hospital. The patient had no obvious cause of intermittent fever 5 days ago, pain, body temperature was not measured, the use of cephalexin capsules and painkillers (unknown), the condition did not improve, gradually appear erythema, swelling, water sores, oral and vulvar mucosal erosion , Giving antibiotics, hormone therapy ineffective, aggravated, there was unconsciousness, drowsiness, shortness of breath, blood pressure and other symptoms, on the 14th turn respiratory ward rescue. Physical examination: T39.2 ℃, P124 times / min, R36 times / min, BP10 / 6kPa. Normal development, poor nutrition, into the ward, severe disease, drowsiness, superficial lymph nodes without swelling. Dyspnea, shortness of breath, lungs can be heard and phlegm sounds, both lungs small blisters sound, rapid heart rate, no noise. Abdomen soft, liver and spleen not touched. Physiological reflex exists, disease