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病历摘要患者,男,43岁,工人,已婚。1982年2月2日入我院,住院号13577。入院前三个月,舌及口腔粘膜先后发生数个小水疱,因无明显痛苦而未加注意。不久水疱破裂形成溃疡,始感疼痛。大约两周后,右腋前缘又发生一水疱,如杏核大小,但无不适.到医院就诊后,按口腔溃疡,给子维生素B类药口服及局部涂搽龙胆紫,病情无明显改善。两周后,由于精神创伤及过度疲劳,上背部又发生数个蚕豆至核桃大小水疱,仍无明显自觉症状。后水疱逐渐增多,延至上肢、头颈部、胸部及下肢,同时伴有咽喉部及口腔内疼痛,四肢困乏无力和低热。即又到某医院就诊,按“脓疱疮”住院治疗,给于葡萄糖、生理盐
Patient summary, male, 43 years old, worker, married. February 2, 1982 into our hospital, hospital number 13577. Three months before admission, the tongue and oral mucosa have occurred several small blisters, without obvious pain without attention. Shortly after the blisters rupture ulcers, began to feel pain. About two weeks later, a blister on the right anterior axillae, such as apricot nucleus size, but no discomfort.After visiting the hospital, according to oral ulcers, oral administration of vitamin B class drugs and local application of gentian violet, no significant improvement in condition. Two weeks later, due to trauma and over-exhaustion, several broad bean to walnut-sized blisters occurred on the upper back with no apparent symptoms. After the blisters gradually increased, extending to the upper extremities, head and neck, chest and lower extremities, accompanied by throat and oral pain, limb weakness and weakness and fever. That is to go to a hospital, according to “impetigo” hospital treatment, to glucose, physiological salt