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我中心1994~1998年共施行皮下埋植避孕剂手术1468例,除常见副反应月经紊乱外,最近发现2例出现严重皮疹,现报道如下。 例1 张某,30岁,因3次带器妊娠,口服避孕药有严重胃肠道反应于1998年4月2日(月经来潮3日)来本中心行皮下埋植术。该妇女既往体健,无内分泌、肝、肾疾患。体检:BP14/9kPa,体重56kg,乳腺及心肺(-),腹平软,肝脾肋下未及,NS(-),无皮下埋植禁忌证,当日行皮下埋植术。次日患者因切口周围奇痒伴周身皮疹,于术后12小时复诊。查体:面部轻度浮肿,全身布满鲜红色的丘疹,压之褪色。追问
Our center from 1994 to 1998, a total of 1468 cases of subcutaneous implantable contraceptive surgery, in addition to common side effects of menstrual disorders, the recent discovery of two cases of severe rash, are reported below. Example 1 Zhang, aged 30, 3 times with pregnancy, oral contraceptives have a serious gastrointestinal reaction on April 2, 1998 (menstrual cramps on the 3rd) to the center subcutaneous implant. The woman’s previous health, no endocrine, liver and kidney disease. Physical examination: BP14 / 9kPa, body weight 56kg, breast and cardiopulmonary (-), abdominal soft, liver and spleen subglottic, NS (-), no subcutaneous implantation contraindications, subcutaneous implantation of the same day. The next day, patients with peripheral itching rash around the skin due to incision, 12 hours after the referral. Examination: mild facial edema, body covered with bright red papules, pressure fade. Ask