论文部分内容阅读
患者龚某,女,33岁,工人,因躯干,面颈部及四肢近端红色丘疱疹,水疱伴疼痛10天入院。既往身体健康。发病前一天,自觉感冒不适,次日皮肤发生红色疹子,个体医生诊断“皮炎”,给予“氟美松”5mg一次,“朴尔敏”等治疗,病情日见加重而收入我科。入院时检查:T38℃系统检查无特殊,皮肤科情况:面、颈部、躯干、四肢近端皮肤密集红色斑,丘疱疹及多数绿豆大小水疱,疱周围有红晕,中央脐窝状损害,部分疱液混浊,疱破后呈现糜烂面、实验室检查WBC10.0×10~9/L,N.74%,L.24%,E.2%,尿常规,肝肾功能均正常。入院后静脉输青霉素钠盐400万~u/日,另80万~uqn,共5天,配庆大霉素静滴肌注病毒唑、转换因子,病情未能控制,皮损迅速向远心部
Gongmou patients, female, 33 years old, workers, due to the trunk, face and neck and limbs near the red mound herpes, blisters with pain 10 days admitted. In the past, good health. The day before the onset of a cold sensation, the next day the skin red rash, the individual doctor diagnosed “dermatitis”, given “flumethasone” 5mg once, “Pu Er-Min” and other treatment, the condition worsened and income in our department. Admission examination: T38 ℃ System examination No special dermatological conditions: face, neck, trunk, extremities, dense skin near the red spot, herpes and most of the size of mung bean blisters, blisters around the flush, umbilical fossa damage, part of Blister fluid opacity, blisters appear erosion after erosion, laboratory tests WBC10.0 × 10 ~ 9 / L, N.74%, L.24%, E.2%, urine, liver and kidney function were normal. After intravenous infusion penicillin sodium 4000000 ~ u / day, another 800000 ~ uqn, a total of 5 days, with gentamicin IV infusion of ribavirin, conversion factor, the condition failed to control the skin lesions quickly to the telecentric unit