论文部分内容阅读
患者男性,22岁.因咳嗽、咳痰6月,胸片示右肺上中斑片状模糊阴影,于1994年3月2日收住院.体检:T 36.4℃,浅表淋巴结未扪及,心、肺、腹部(一).入院后诊断为右上中浸润型肺结核进展期.于1994年3月10日予SHRZCCS:链霉素,0.75im qd;H:异烟肼,0.3 qd;R:利福平,0.6 qd于每日晨5时口眼;Z:吡嗪酰胺,0.5tid.其中利福平为上海第二十一制药厂生产,批号930101)方案初治.用药第13日(3月23日)起,患者每日约8时许发生畏寒,T39—41℃,伴全身不适、疲乏无力及左侧胸锁乳突肌胀痛,7—8小时后症状消失.检查:左侧胸锁乳突肌压痛(+),其上方可扪及肿大淋巴结.余无其它症状及体征.因疑为利福平过
Male patient, aged 22. Due to cough and sputum in June, chest radiograph showed a patchy fuzzy shadow on the right lung and was admitted to hospital on March 2, 1994. Physical examination: T 36.4 ℃, superficial lymph nodes not palpable, heart , Lung, abdomen (a) .After admission was diagnosed as right upper middle infiltrative pulmonary tuberculosis progression in March 10, 1994 to SHRZCCS: streptomycin, 0.75imqd; H: isoniazid, 0.3qd; R: Fuping, 0.6 qd at 5 o’clock in the morning mouth; Z: pyrazinamide, 0.5tid. Of which rifampicin for the twenty-first Shanghai Pharmaceutical Factory production, lot number 930101) program naive treatment on the 13th day (3 Month 23), the patient chills at about 8 pm every day, T39-41 ℃, with general malaise, weakness and weakness and left sternocleidomastoid pain, 7-8 hours after the symptoms disappear. Side of the sternocleidomastoid muscle tenderness (+), above the palpable and enlarged lymph nodes. I no other symptoms and signs of suspected rifampin