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患者女,47岁,因右上腹部疼痛并向右后背放射痛1天就诊。疼痛呈持续性,既往有慢性胆囊炎病史。血常规、肝功能及乙肝五项指标检查均正常。B超示:慢性胆囊炎。即给予抗感染(青霉素800万U及灭满灵250ml静滴)及对症等治疗,疼痛不减。3天后,右肩胛区、腋前、胸壁有集簇性黄豆大水疱,疼痛明显。结合临床表现及组织病理检查诊断为带状疱疹。即给予病毒唑静滴,维生素B_1、B_(12)、聚肌胞肌注,疱疹局部涂阿昔洛韦软膏,并给予龙胆泻肝汤加板兰根、双花、白芷、元胡治疗8天,患者出现眼险下垂,同侧面部无汗。体检:神志清,右眼裂变小,上眼睑下垂,眼压正常,眼底无水肿,眼部血
Patient female, 47 years old, had pain due to the right upper quadrant and radiating pain to the right back for 1 day. Pain was persistent, past history of chronic cholecystitis. Blood, liver function and hepatitis B five indicators were normal. B ultrasound showed: chronic cholecystitis. That is given anti-infection (penicillin 8 million U and vanilline 250ml intravenous infusion) and symptomatic treatment, the pain diminished. After 3 days, the right scapular area, axillary, chest wall clustered soybean blisters, pain was obvious. Combined with clinical manifestations and histopathological examination diagnosed as shingles. Namely given intravenous ribavirin, vitamin B_1, B_ (12), polymyosine injection, topical acyclovir herpes ointment, and give Longdanxiegan Tang Banlan root, double flower, Angelica, Yuan Hu treatment for 8 days, Patients appear eye drop, the same side without sweat. Physical examination: conscious mind, right fissure small, ptosis, normal intraocular pressure, fundus without edema, ocular blood