论文部分内容阅读
1 病历摘要患者,女,26岁。系四肢近端无力一年伴发热,脱发半月。于1998年6月20日入院。患者一年前确诊为“多发性肌炎”用“强的松”加“氨甲喋呤”治疗,症状缓解,到1996年4月再次血肌酶升高。于1998年5月10日加用硫唑嘌呤0.1qd。“强的松”30mg/日维持治疗,半月后肌酶正常,血常规正常。出院仍按原方案治疗。出院后1周出现不规则发热、脱发。未进行外周血象检测仍继续服用二周。入院前2天出现肛周疼痛,全身散在出血点、瘀斑,再次入院。前后共用硫唑嘌呤0.1/日,40天。
1 patient summary, female, 26 years old. Department of proximal limb weakness year with fever, hair loss half a month. On June 20, 1998 admission. Patients diagnosed with “polymyositis” a year ago with “prednisone” plus “methotrexate” treatment, symptoms were relieved, and again in April 1996 increased serum creatine kinase. On May 10, 1998 add azathioprine 0.1qd. “Prednisone” 30mg / day maintenance treatment, half a month after normal muscle enzymes, blood normal. Discharged according to the original plan of treatment. 1 week after discharge irregular fever, hair loss. Continue to take two weeks without the detection of peripheral blood. Perianal pain occurred 2 days before admission, the whole body scattered bleeding point, ecchymosis, re-admission. Before and after sharing azathioprine 0.1 / day, 40 days.