论文部分内容阅读
患者,男,17岁。1989年8月19日下午散步时,突感右眼不适,似有异物磨擦,继之双上眼睑下垂,2分钟后,感全身瘙痒,心悸,狂躁,手掌指关节处皮肤变白,接着全身出现皮疹,视物模糊,后视力丧失,伴恶心、呕吐,呕出物为胃内容物,寒颤、发抖、大汗,经卧床休息10分钟后,视力逐渐恢复。嘱大、小便化验时,复出现上述视力障碍症状,经休息和肌注非那根25mg,口服强的松10mg后恢复。追问病史,述发病前30分钟食一苹果,但共同散步的同食人群无异常。无其它接触异物史。体检:T36.4℃,P68次/分,R18次/分,Bp9.33/8kPa,神志清楚。全身布满斑丘疹,高出皮肤,直径3 mm左右,触合成
Patient, male, 17 years old. When walking on the afternoon of August 19, 1989, I felt discomfort in the right eye. I felt like foreign body friction, followed by double upper eyelid ptosis. After 2 minutes, I felt itchy, palpitations, manic, A rash, blurred vision, loss of visual acuity, with nausea, vomiting, vomit for the stomach contents, chills, trembling, sweating, after 10 minutes of bed rest, visual acuity gradually restored. Well, Urine test, the symptoms of recurrent retinopathy appeared, after resting and intramuscular injection of non-root 25mg, oral prednisone 10mg recovery. Asked about the medical history, about an hour before the onset of an apple, but walking together with the same crowd without exception. No other contact with foreign body history. Physical examination: T36.4 ℃, P68 times / min, R18 times / min, Bp9.33 / 8kPa, conscious. Whole body covered with rash, above the skin, diameter of about 3 mm, touch into