重症药疹30例临床研究

A clinical study on 30 cases of in-patient with serve drug eruptions

  • 摘要: 目的: 分析重症药疹的临床资料,提供治疗经验。方法: 分析我院收治的30例患者,年龄10~71岁,男女比例1.2∶1,进行回顾性研究。结果: 所有患者均有用药史,常见致敏药物为抗生素、解热镇痛药和卡马西平。死亡率13.3%(4例死亡),死亡原因主要是心肺衰竭和感染。患者本身的基础性疾病是引起死亡的主要危险因素,包括布-加综合征、肺结核、支气管哮喘和系统性红斑狼疮。结论: 早期诊断和停用致敏药物是治疗的重要环节,激素治疗能明显控制症状和缓解病情,支持疗法和皮肤黏膜护理也发挥重要作用。

     

    Abstract: Objective: To offer therapeutic experience on analysis of clinical data of the serve drug eruptions. Methods: To do a retrospective study of 30 patients identified with an age range of 10-71 years, the male to female ratio was 1.2∶1. Results: All cases were associated with medications, most commonly antibiotics, nonsteroidal anti-inflammatory drugs and carbamazepine. The mortality rate was 13.3% (four deaths), mostly resulting from cardiorespiratory failure and sepsis. Risk factors for death were severe underlying disease, including Budd-Chiari syndrome, pulmonary tuberculosis, bronchial asthma and systemic lupus erythematosus. Conclusion: Early diagnosis and prompt withdrawal of suspected drugs remain the most important measures in managing the two diseases. Treatment with corticosteroids do in fact suppress progression and appeared to be beneficial, supporting treatment and nursing care are also of great importance.

     

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