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卡马西平片致严重药疹2例
引用本文:唐莉,朱浩.卡马西平片致严重药疹2例[J].湖南环境生物职业技术学院学报,2013(4):14-16.
作者姓名:唐莉  朱浩
作者单位:南华大学附属第一医院,湖南衡阳421001
摘    要:2例男性患者(年龄35、33岁),分别因面神经性麻木、睡眠型癫痫给予卡马西平片对症治疗,服药后均出现了严重药疹.例1服药后出现口腔大面积溃疡伴脓血分泌物,眼结膜稍红,无渗出,躯干及四肢可见多形性红色斑疹;例2服药后出现面颈部及躯干四肢弥漫的紫红色斑疹,面颈部有不规则松弛性水疱,表皮松弛,眼角、口唇、口腔糜烂,伴有肝功能、胰腺受损.均予以停用卡马西平片,予甲强龙、左西替利嗪抗过敏等对症治疗后药疹症状好转.参5.

关 键 词:卡马西平片  药品不良反应  多形性红斑  大疱性表皮松解症

2 Cases of Severe Drug Eruption Caused by Carbamazepine Tablets
TANG Li,ZHU Hao.2 Cases of Severe Drug Eruption Caused by Carbamazepine Tablets[J].JOurnal of Hunan Environment Biological Polytechnic,2013(4):14-16.
Authors:TANG Li  ZHU Hao
Institution:(The first affiliated hospital of university of south china, Hengyang 421001, China)
Abstract:2 male patients (age 35,33 years old), respectively for facial nerve numbness, sleep epilepsy carbamazepine tablets given symptomatic treatment, after treatment appeared serious drug eruption. 1 cases of large area after taking oral ulcer with purulent secretions, conjunctival slightly red, no bleeding, the trunk and limbs visible pleomorphic red spotted; cases of facial and neck and trunk limbs diffuse purple red spotted 2 after taking the medicine, irregular flaccid blisters have the face and neck, skin relaxation, eyes, lips, oral erosion, associated with liver, pancreas damage. Shall be stopped to Kama Si Bing Pen, methylprednisolone, levocetirizine anti allergic drug rash symptoms were improved after symptomatic treatment. 5refs.
Keywords:carbamazepine tablets  adverse drug reaction  erythema muhiforme  epidermolysis bullosa
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