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1 病例报告 患者,女,28岁,因左颈下肿瘤,伴发烧1天就诊。T38℃,左颈下淋巴结肿大,化验:WBC:12×10~9/L,N:78％,L:22％,诊断为急性淋巴结炎。给予青霉素G钠(批号:981007,山东鲁抗医药股份有限公司生产)400万单位,每日2次。静滴3次后,症状无好转,T40.2℃。改用头孢唑啉钠(批号C980909,山东鲁抗医药股份有限公司生产)3.0g,静滴12h后,查体:患者双手足掌心呈现红色斑疹,呈风团样相互融合,伴肿胀感,双下肢外侧出现红色圆形丘疹,对称分布,压
A case report patients, female, 28 years old, due to left and right neck cancer, with fever for 1 day treatment. T38 ℃, left sub-neck lymph node enlargement, laboratory tests: WBC: 12 × 10 ~ 9 / L, N: 78%, L: 22%, diagnosed as acute lymphadenitis. Give penicillin G sodium (batch number: 981007, Shandong Lukang Pharmaceutical Co., Ltd. production) 4 million units, 2 times a day. After three intravenous drip, the symptoms did not improve, T40.2 ℃. Use cefazolin sodium (batch number C980909, Shandong Lukang Pharmaceutical Co., Ltd. production) 3.0g, intravenous drip 12h, physical examination: patients with palms palms showing red rash, the wind-like integration of each other, with swelling, Red round papules appear outside the lower extremities, symmetrical distribution, pressure