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1例37岁男性烟雾病患者,在行颅内外血管吻合术后入院复查。入院后,为预防感染给予克林霉素1.2g溶入0.9%氯化钠注射液250ml静脉滴注。第2天,患者全身瘙痒,下颌及四肢满布红色丘疹,有散在水疱,部分融合成片状,并出现表皮松解剥脱现象,伴有渗出。T37.6℃。血常规:WBC14.5×109/L,N0.87。立即给予地塞米松、葡萄糖酸钙及异丙嗪等治疗。3d后皮疹消退。
A 37-year-old man with moyamoya disease was admitted to hospital after intracranial and intracranial vascular anastomosis. After admission, to prevent infection given clindamycin 1.2g dissolved in 0.9% sodium chloride injection 250ml intravenous infusion. On the second day, the patient was itchy, covered with red papules in the jaws and extremities, scattered in blisters, partially fused into flakes, and the epidermolytic exfoliation occurred accompanied by exudation. T37.6 ° C. Blood: WBC14.5 × 109 / L, N0.87. Immediately given dexamethasone, calcium gluconate and promethazine treatment. After 3d rashes subsided.