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患者,男,31岁。于1989年8月12日被狗咬伤,疑为狂犬,去巨鹿县防疫站注射抗狂犬病血清,左上肢1支,右上肢2支,用前皮试阴性。8月20日上午,突然感到注射部位发热搔痒,出现以注射点为中心大片红斑。左上肢约6×8cm,右上肢约10×14cm,边缘不清,两腋下淋巴结肿大压痛,自感周身乏力,关节痠痛,体温37.6℃。诊为血清病,经肌注苯海拉明20mg,静注50%葡萄糖加
Patient, male, 31 years old. On August 12, 1989 was bitten by a dog, suspected rabies, to Julu County epidemic prevention station injection of anti-rabies serum, a left upper limb, right upper limb 2, before the test skin negative. On the morning of August 20, I suddenly felt fever and itching in the injection site, and a large erythema occurred at the injection site. Left upper limb about 6 × 8cm, right upper limb about 10 × 14cm, the edge is unclear, two armpit lymph nodes tenderness, self-feeling whole body fatigue, joint pain, body temperature 37.6 ℃. Diagnosed as serum disease, intramuscular injection of diphenhydramine 20mg, intravenous 50% glucose plus