论文部分内容阅读
白塞氏综合症系一少见疾病,并发急性肠穿孔文献报告甚少。本院遇到一例,现报告如下。男,44岁,住院号28349。主诉双下肢散在性结节红斑反复发作二年半。患者于1982年10月份开始无明显诱因双下肢出现散在性结节,如花生米至蚕豆大小,高出皮肤,色红,疼痛,行走时疼痛加重,伴高热。在当地医院以庆大霉素、红霉素等抗炎治疗4天后症状缓解,停药1周后症状复发。曾先后到多间医院治疗,诊断为“结节性红斑”,给以强的松、维生素B_1、利福定等治疗,无明显疗效,上述症状反复发作。近十多天来,再次发作,而于1985年4月13日来本院门诊,以“结节性红斑”收入院治疗。患者既往身体健康,无腹泻、便秘、腹痛等病史。一年前曾患“葡萄膜炎”已愈。家族无类似病史。入院后体查:体温36.8℃,脉搏90次/分,血压
Behcet’s syndrome is a rare disease, complicated with acute intestinal perforation reported little literature. The hospital encountered a case, the report is as follows. Male, 44 years old, hospitalization number 28349. Prone to double limbs scattered erythema nodosum repeated episodes two and a half years. Patients had no apparent incentive to begin october 1982 with scattered nodules in both lower extremities, such as peanuts to faba bean size, above the skin, reddish color, pain, aggravated pain during walking, and high fever. In local hospitals with gentamicin, erythromycin and other anti-inflammatory treatment for 4 days after symptom? My relief, withdrawal of symptoms after 1 week of relapse. Has been to many hospitals for treatment, diagnosis of “erythema nodosum” to give prednisone, vitamin B_1, rifampicin and other treatment, no significant effect, the above symptoms recurrent. In the past ten days or so, another episode, and in April 13, 1985 to our hospital, with “erythema nodosum” income hospital treatment. Past patient’s health, no diarrhea, constipation, abdominal pain and other medical history. A year ago suffering from “uveitis” has been more. No similar family history. Physical examination after admission: body temperature 36.8 ℃, pulse 90 beats / min, blood pressure