一例由扑热息痛片致重症多形红斑药疹病例的护理体会  

Nursing experiment of a case with Stevens-Johnson syndrome induced by paracetamol

作　　者：温锐[1] 王俭[1] 

机构地区：[1]中国医科大学附属盛京医院急诊科,沈阳110004

出　　处：《实用药物与临床》2013年第2期139-140,共2页Practical Pharmacy and Clinical Remedies

摘　　要：1例54岁女性患者,因咽痛伴发热口服扑热息痛500 mg后出现红斑,1 d后红斑加重,演变为红斑、丘疹、水疱复合型皮损。次日又服该药750 mg,前述现象加重,双眼红肿。经静脉滴注甲基强的松龙、丙种球蛋白、美罗培南治疗并配合皮肤、口腔及眼部的综合护理措施,15 d后治愈。临床实践中,应重视全面、综合的护理措施对疾病康复的重要性。A 54 year old woman experienced erythema after receving paracetamol 500 mg for treating pharyngodynia and fever, and the erythema exaggerated and presented erythema, papula, vesic skin damage after 1 d. The pa tient＇s symptoms exaggerated with eyes swollen after having paracetamol 750 mg again at the third day. After 15 d of intravenous infusion of methylprednisolone, gamma globulin and meropenem combined with complex nursing measures on skin, mouth and eyes, the patien was cured. The importance of comprehensive nursing cares in recovery of symptoms should be paid attention in clinical practice.

关 键 词：扑热息痛 不良反应 重症多形红斑药疹 护理 

分 类 号：R473.75[医药卫生—护理学]