1临床资料患者男,22岁,无职业,未婚。左侧头面部红斑水疱伴疼痛5d。患者于5d前无明显诱因左侧头面部疼痛,左眼疼痛不适,随之左侧头面部出现红斑水疱,并就诊于天津市眼科医院,考虑为角膜炎,因带状疱疹引起,予对症眼药治疗,遂就诊于本院门诊,患者既往体键,诊断为带状疱疹,予抗病毒对症治疗,病情控制欠佳,且出现恶心呕吐,发热,最高达T 38.5℃L,予地塞米松5mg肌注治疗一次,皮疹面积仍逐渐增多,疼痛明显,为求 1 Clinical data Patient male, 22 years old, unemployed, unmarried. Left head facial erythema blisters with pain 5d. Patients had no obvious reason 5 days before the left head and face pain, left eye pain discomfort, followed by left head and face appear erythema blisters, and visited the Tianjin Eye Hospital, considered as keratitis, caused by shingles, symptomatic eye Drug treatment, then visit our hospital, the patient’s body keys, diagnosis of shingles, anti-virus symptomatic treatment, poor control of the disease, and nausea and vomiting, fever, up to T 38.5 ℃ L, to dexamethasone 5mg intramuscular treatment once, rash area is still gradually increased, the pain was obvious, for the sake of