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患者,男,14岁,因发热、咽痛、全身皮疹3天入院.1年前曾患癫痫,长期服用苯妥英钠,于入院前11天改服卡马西平0.1,Tid.1周后耳后、颈部、颜面、胸腹部出现皮疹,并波及四肢.全身迅速出现紫红斑,很快融合成片,表皮松懈,发生大疱,轻擦即可剥脱,有少量渗液.伴有恶心、喷射状呕吐.口眼糜烂,腹痛、腹泻、尿少、心悸、气短.体查:T39.6℃,P120次/分,R30次/分,BP14/10kPa;面
Patient, male, 14 years old, admitted to hospital for fever, sore throat and systemic rash 3 days 1 year ago, suffering from epilepsy, long-term use of phenytoin sodium, 11 days before admission change service carbamazepine 0.1, Tid after 1 week ear , Neck, face, chest and abdomen rashes, and spread to the limbs. The body rapidly purple spots, the rapid integration of the film, the epidermis slack, the occurrence of large blisters, rub gently to exfoliate, with a small amount of exudate. Oral edema, abdominal pain, diarrhea, oliguria, palpitations, shortness of breath. Physical examination: T39.6 ℃, P120 beats / min, R30 beats / min, BP14 / 10kPa;