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患者张××,女,23岁,病案号98665,于1988年7月因患右侧胸膜炎,用雷米封,链霉素治疗发生口唇麻木,周身皮疹,停药后症状消失。改用利福平,乙胺丁醇治疗。20天后患者高热,体温达40℃,再次发生皮肤红色丘疹伴轻度黄染,经对症处理无效,皮疹蔓延至全身且有多处破溃,9月25日送我院治疗,查体:T39.6℃,BP130/80mmHg,周身皮肤可见轻度黄染,大片状红色丘疹且有多处破溃,口腔内多处溃疡,但未见白色膜样物,而下肺听诊可闻及散在水泡音,心界不大,心音纯正,腹平软,肝助下2.0cm,质软,触痛
Patients Zhang × ×, female, 23 years old, medical record number 98,665, in July 1988 suffering from right pleurisy, with Remy sealed, streptomycin lipsticks numbness occurred, the whole body rash, withdrawal symptoms disappear. Rifampicin, ethambutol treatment. Twenty days later the patient was fever, body temperature reached 40 ℃, red papules with mild yellow dye again, the symptomatic treatment ineffective, the rash spread to the body and many ulceration, September 25 sent to our hospital, physical examination: T39 .6 ℃, BP130 / 80mmHg, visible yellowish skin around the body, large patches of red papules and ulceration, multiple ulcers in the mouth, but no white film samples, and the lower lung auscultation can be heard scattered Blisters sound, heart is small, heart sound pure, abdominal soft, liver help 2.0cm, soft, tenderness