论文部分内容阅读
患者,男,46岁,因妻子患有滴虫性阴道炎,为预防感染于2012年6月12日自服甲硝唑片(广东康美药业股份有限公司;批号:111025-1)0.4 g qd,24 h后口唇出现水疱,继之龟头红肿、严重糜烂、渗液伴痒痛。6月13日到西双版纳州人民医院门诊就诊,体检:患者口腔黏膜充血红肿,有大量粟粒样颗粒形成;龟头红肿、严重糜烂,糜烂面有明显渗出液。诊断:药物疹。既往无食物、药物过敏史。给予硼酸溶液冲洗外阴,呋氧散外敷,地塞米松10 mg,iv qd,5%葡萄糖注射液500 ml+Vit C 3 g+10%葡萄糖酸钙20 ml,ivd qd,连用3d;并予以左西替利嗪5 mg,po qn。经上述治疗后,口唇水疱、龟头糜烂逐渐好转,7 d后上述症状完全消失。
Patient, male, 46 years old, suffering from trichomonas vaginitis because of a wife, 0.4 g of self-serving metronidazole tablets (Guangdong Kangmei Pharmaceutical Co., Ltd .; batch number: 111025-1) for prevention of infection. qd, blisters lips after 24 h, followed by glans redness, severe erosion, exudate with itching. June 13 to Xishuangbanna People’s Hospital outpatient treatment, physical examination: patients with oral mucosal congestion and swelling, a large number of miliary-like particles formed; glans redness, severe erosion, erosion surface obvious exudate. Diagnosis: drug rash. Past no food, drug allergy history. Give the boric acid solution to wash the vulva, Fuxfu powder topical, dexamethasone 10 mg, iv qd, 5% glucose injection 500 ml + Vit C 3 g + 10% calcium gluconate 20 ml, ivd qd, once every 3d; Cetirizine 5 mg, po qn. After the above treatment, lip blisters, glans erosion gradually improved, 7 d after the above symptoms disappeared completely.