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1 病例介绍 患者男,16岁,因腹痛、腹泻、发热并伴全身皮疹3 d来院就诊。查体:T 38.3℃,R 92次/min,R 23次/min。粪检:黄色稀水便,脓球(++),RBC(+)。诊断:急性肠炎伴全身皮肤药疹。患者3日前因腹痛、腹泻在一学校诊所按急诊肠炎给予治疗,处方为:庆大霉素24万~u+5％ GNS 500 ml,10％ GS 500 ml+Vitc3.0 g+VitB_6 0.2 g+10％KCl 10 ml静脉点滴。庆大霉素组滴注完毕未见异常,第二组药物点滴约30 min后,患者自述皮肤搔痒,继之出现潮红,荨麻疹,无胸闷、心慌等症状,校医给用抗过敏药物治疗,并改用氟哌酸口服,因腹痛、腹泻不见好转,并出现
1 case description Male patient, 16 years old, due to abdominal pain, diarrhea, fever and with systemic rash 3 d to hospital. Examination: T 38.3 ℃, R 92 times / min, R 23 times / min. Fecal seizures: yellow dilute water will, pus ball (++), RBC (+). Diagnosis: acute enteritis with systemic dermatitis. Patients 3 days ago because of abdominal pain, diarrhea in a school clinic according to emergency enteritis treatment, the prescription is: Gentamicin 240,000 ~ u + 5% GNS 500 ml, 10% GS 500 ml + Vitc3.0 g + VitB_6 0.2 g + 10% KCl 10 ml intravenous drip. Gentamicin group drip completed no abnormalities, the second group of drug drip about 30 min, the patient readme skin itching, followed by flushing, urticaria, no chest tightness, palpitation and other symptoms, school medical treatment with anti-allergy drugs, And instead of norfloxacin oral, due to abdominal pain, diarrhea did not improve, and appear