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病人男 79岁 1989年6月28日因咳嗽、咯血在本所诊断为双肺浸润型肺结核,右上空洞。用3HES/9EH方案治疗,INH0.3、EMB1.0、SM0.75,每日1次。用药55天后,全身皮肤搔痒、出现皮疹。于9月2日来所复查,双手、面及胸腹部散在局限性红斑。考虑SM过敏而停用SM,继用EMB、INH,并加服酮体芬及维生素C。9月10日因皮损增重复诊。查体:全身皮肤呈猩红热样红斑,融合成片,躯干及四肢皮肤潮红、肿胀,颜面浮肿,不能睁眼,眼睑、
Patient Male 79 years old June 28, 1989 Due to cough, hemoptysis was diagnosed as pulmonary infiltrative pulmonary tuberculosis in our institution with an empty space in the upper right. Treatment with 3HES / 9EH regimen, INH0.3, EMB1.0, SM0.75, once daily. After 55 days of treatment, systemic skin itching, a rash. To review on September 2, hands, face and chest and abdomen scattered in the limitations of erythema. Consider SM allergy and disable SM, following EMB, INH, and add ketoprofen and vitamin C. Sept. 10 due to skin lesions weight gain referral. Physical examination: systemic skin was scarlet fever-like erythema, into a film, the trunk and limbs, skin flushing, swelling, facial edema, can not open your eyes, eyelids,