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巨噬细胞活化综合征1例报告并文献复习 被引量:1

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摘要 1 病历简介 患者女性,26岁,主因发热、皮疹,伴全身肌肉、关节酸痛11d,于2007年5月24日入住院。既往对青霉素过敏。患者于入院前因咽痛自行口服阿莫西林,因发热伴皮疹在门诊先后静脉滴注(静滴)加替沙星、头孢地嗪,间断使用地塞米松,但症状无明显缓解。入院时血白细胞计数(WBC)17.3×10^9/L,中性粒细胞比例(N)0.890,免疫全项阴性,红细胞沉降率(ESR)83mm/1h。诊治过程中先后给予阿奇霉素、头孢哌酮/舒巴坦抗炎,甲泼尼龙辅助抗炎,后因外阴皮屑及口腔溃疡处白色分泌物真菌镜检(+)而改为制霉菌素、氟康唑抗真菌,
作者 闫素英 李伟
出处 《中国危重病急救医学》 CAS CSCD 北大核心 2008年第1期54-56,共3页 Chinese Critical Care Medicine
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