本文报告一例并发胆汁瘀滞性黄疸、急性肾小管坏死的急性脓疱性银屑病患者。指出,白蛋白自皮肤丢失引起低血容量而导致肾功能衰竭,因此对急性脓疱性银屑病患者应注意液体平衡、中心静脉压(C.V.P)和动脉压。病例:男性、55岁。银屑病史15年。住院前4天,畏寒,皮肤易激惹、发热、广泛发红。不久,皮肤触痛,发生大片脓疱。住院时全身红皮,面颈部结痂,躯干皮肤广泛剥脱,露出湿润面,其边缘有 This article reports a case of acute pustular psoriasis complicated by biliary stasis jaundice and acute tubular necrosis. Pointed out that albumin from the skin loss caused by hypovolemia and lead to renal failure, and therefore should pay attention to patients with acute pustular psoriasis, fluid balance, central venous pressure (C.V.P) and arterial pressure. Case: Male, 55 years old. Psoriasis for 15 years. 4 days before hospitalization, chills, irritable skin, fever, widespread redness. Soon, the skin tenderness, the occurrence of large pustules. Body red body, face and neck scabs, extensive skin exfoliation of the trunk, exposing the moist surface, the edge of