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患女,61岁,以左肋下及背部疼痛20d加重伴出水疱9d入院。患者20d前劳累后左肋下及背部疼痛,并出现胃部饱胀不适感,外院按“胃炎”、“背部扭伤”给以对症治疗,效果不佳。9d前左乳房下有簇集米粒大水疱,疼痛加剧。查体:左乳房下有族集米粒大小水疱,疱壁紧张,疱液澄明,部分水疱融合成黄豆大。胸骨上窝处、右侧大阴唇处,左右肩胛骨处均见3～5个米粒大水疱成簇排列,互不融合,疱周有大片红晕。实验室检查:T淋巴细胞亚群测定T_348％,T_423％,T_822％,T_4/T_80.05,均小于正常对应值。临床诊断:泛发性带状疱疹。给以无环鸟苷750mg静滴,1次/d,共10d;干扰素100万U肌注,1次/d,共7d。并予增强免疫,营养神经及对症治疗,配合局部皮损
Affected women, 61 years old, left ribs and back pain increased with 20d blister 9d admission. Patients 20d before fatigue after the left ribs and back pain, and stomach full discomfort, the outer court by “gastritis”, “back sprain” to give symptomatic treatment, the effect is not good. 9d before under the left breast with large grains gathered rice blisters, increased pain. Check the body: under the left breast, a set of rice-size blisters, blister wall tension, blister fluid clarification, part of the blisters into soybeans. Supra on the sternum, right labia majora, scapula at the left and right are seen 3 to 5 large blisters arranged in clusters of rice, mutual non-fusion, vesicular blisters have a large flush. Laboratory tests: T lymphocyte subsets T_348%, T_423%, T_822%, T_4 / T_80.05, were less than the normal corresponding value. Clinical diagnosis: generalized herpes zoster. Given acyclovir 750mg intravenous infusion, 1 times / d, a total of 10d; interferon 1 million U intramuscular injection, 1 / d, a total of 7d. And to enhance immunity, nourishment nerves and symptomatic treatment, with the local skin lesions