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1临床资料患者女,60岁。右侧胸肋部疼痛5d,起皮疹3d。5d前,患者无明显诱因出现右侧胸肋部阵发性针刺样痛,本院以“神经痛”予腺苷钴胺、维生素B1肌肉注射和卡马西平及布洛芬口服治疗,无效。3d前,右侧胸肋部出现皮疹,以“带状疱疹”处理,血常规、肾功检查未见异常。自发病以来,患者无发热,睡眠差,饮食、精神尚可,大小便常规,体重无明显变化。既往史:高血压20年,血压130~140/80~90mm Hg;甲状腺结节5年,否
1 Clinical data Female patient, 60 years old. Right thoracic pain 5d, rash 3d. 5d, there was no obvious incentive for patients with paroxysmal acupuncture-like pain in the right chest, the hospital with “neuralgia” to adenosylcobalamin, vitamin B1 intramuscular injection and oral carbamazepine and ibuprofen ,invalid. 3d, the right chest rib rash appears to “shingles ” treatment, blood tests, renal function tests showed no abnormalities. Since onset, patients without fever, poor sleep, diet, the spirit is acceptable, urine routine, no significant weight changes. Past history: Hypertension 20 years, blood pressure 130 ~ 140/80 ~ 90mm Hg; thyroid nodules 5 years, no