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作者遇到1例应用卡马西乎(carbama-zepine CBZ)治疗舌咽神经痛过程中因服用红霉素而加重CBZ不良反应报告如下。患儿男,6岁。于1986年4月发热咽痛1d(天),查见咽部充血,扁桃体Ⅰ°肿大、血WBC升高,核左移。诊为急性上呼吸道感染,经肌注青霉素及对症治疗好转。但发病d3(第3天)出现左咽部及舌根发作性剧痛,每次历时数秒-数十秒不等,常因进食、张口、咳嗽而诱发。诊断为急性上感致左舌咽神经痛。
The authors encountered one case of carbamazepine (carbama-zepine CBZ) treatment of glossopharyngeal neuralgia due to taking erythromycin and aggravating CBZ adverse reactions are as follows. Children male, 6 years old. In April 1986 fever sore throat 1d (days), found pharyngeal congestion, tonsil I ° enlargement, blood WBC increased, left nuclear shift. Diagnosis of acute upper respiratory tract infection, penicillin by the muscle and symptomatic treatment improved. However, the onset of d3 (3 days) left pharyngeal and tongue pain occurs, each time lasted seconds - tens of seconds, often due to eating, mouth, cough and induced. Diagnosis of acute upper left glossopharyngeal neuralgia.