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病历摘要患者女性,38岁,因肺部浸润性病灶而入院。既往体健,8年前血性腹泻,诊断为溃疡性直肠炎。用水杨酸偶氮磺胺吡啶(sulfasalazine)7周后,出现 Stevens-Johnson 综合征,伴有干咳、呼吸困难,用强的松治疗后痊愈。入院前7年半,钡剂灌肠检查,发现横结肠远端及降结肠的结肠袋影轻度降低,未见溃疡,认为是结肠脾曲的粘膜增厚.X 线胸片显示肺部轻度充气过度,膈肌变平。2个月后,哮喘发作,胸片发现双肺下野间质纹影增强.此后2年中,病者曾因哮喘发作,在其他医院住院6次,其中2次作了气管插管。曾用肾上腺皮质激
Summary of patient history Female patient, 38 years old, admitted to hospital for pulmonary infiltrates. Past physical health, bloody diarrhea 8 years ago, the diagnosis of ulcerative proctitis. After 7 weeks with sulfasalazine salicylate, Stevens-Johnson syndrome developed with dry cough, difficulty breathing, and healed after treatment with prednisone. 7 years and a half before admission, barium enema examination and found that the transverse colon and descending colon colon bag slightly reduced, no ulcers that mucosal thickening of the colon spleen song .X-ray showed mild inflatable lung Excessive, diaphragm flatten. Two months later, the asthma attack and the chest radiograph revealed an enhancement of striation between the two lungs, and two years later, the patient had been hospitalized for six times in other hospitals due to an asthma attack, and two of them were intubated. Had used adrenal stimulation