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喻某,男,21岁,电工。主诉:头昏、牙痛、乏力一周。现病史:患者因头、面、胸、腹、北、腰、臂部及四肢患牛皮癣一年余,经求医无效。由某医生自配牛皮癣搽剂1,000毫升,患者于半月前在一周内将900毫升牛皮癣搽剂外搽皮肤患处。用药完毕,患者开始感觉牙痛、牙齿松动,牙龈出血、咽痛、口嗅,某医生诊断为口腔炎,用青、链霉素,解热止痛药治疗不见好转,患者头昏加重,情绪激动,发热,食欲不振,又用红霉素、氢化考的松静脉滴注,患者更觉极度乏力、衰弱、双手微颤,发热不退,小便有蛋白,病情严重,于1980年7月12日急诊入院。既往健康,无口腔、肝,肾、神经精神、血液病史 体检:发育正常,营养良好,精神萎靡,懒言,急性病容,检查尚合作。体温38.9℃,脉搏82次/分,呼吸21次/分,血压110/70毫米汞柱。全身皮肤潮红,呈猩红热样皮疹,以腰背及胸腹较重。在全身
Yu Mou, male, 21 years old, electrician. Chief complaint: dizziness, toothache, fatigue week. Current medical history: Patients with head, face, chest, abdomen, north, waist, arm and limbs suffering from psoriasis more than a year, after seeking medical invalid. A doctor self-provided psoriasis liniment 1,000 ml, the patient within a week in a week, 900 ml of psoriasis liniment paint the affected area outside the skin. Medication is completed, the patient began to feel a toothache, loose teeth, bleeding gums, sore throat, mouth smell, a doctor diagnosed as stomatitis, with blue, streptomycin, antipyretic analgesics treatment did not improve, patients dizziness aggravated, agitated, Fever, loss of appetite, but also with erythromycin, hydrocortisone intravenous infusion, patients feel more extreme fatigue, weakness, hands shaking, fever, protein, serious condition, in July 12, 1980 emergency Admission. Past health, no oral, liver, kidney, neuropsychiatric, blood disease Physical examination: normal development, good nutrition, apathetic, lazy words, acute illness, check still cooperation. Body temperature 38.9 ℃, pulse 82 beats / min, breathing 21 beats / min, blood pressure 110/70 mm Hg. Whole body skin flushing, scarlet fever-like rash to the lower back and chest and abdomen heavier. In the whole body