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患者男,46岁。因风湿性心脏病伴房颤、心衰入院,经地高辛、双氢克尿塞及抗生素治疗7天,心衰症状改善,但仍有房颤,故加服乙胺碘呋酮200毫克/次,每日3次。服药两天后,患者自觉全身发痒,继之全身皮肤浮肿,颈、胸、腹部出现弥漫性高出皮肤的红色斑丘疹,压之退色,搔痒难忍。查体温39℃,血压90/60。血白细胞8,000,中性83%,淋巴17%。即刻静注50%葡萄糖40毫升加氧化可的松100毫克,并停服乙胺碘呋酮。
Male patient, 46 years old. Due to rheumatic heart disease with atrial fibrillation, heart failure admitted to hospital, after digoxin, hydrochlorothiazide and antibiotics for 7 days, heart failure symptoms improved, but there is still atrial fibrillation, so add ethidium iodine 200 mg / time, each 3 times a day. Two days after the medication, the patient consciously itchy body, followed by systemic skin edema, neck, chest, abdomen appear diffuse red rash above the skin, the pressure of the fade, itch unbearable. Check body temperature 39 ℃, blood pressure 90/60. Blood white blood cells 8,000, 83% of neutral, lymphatic 17%. Immediate intravenous injection of 50% glucose 40 ml plus 100 mg of cortisone, and stopped taking amiodarone.