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患者,男,56岁,工人。因头晕、双上肢麻木不适,经X线片等确诊为颈椎病。口服萘普生(山东莱阳制药厂,批号900 519,100mg/片)200mg,日3次,连服300片,病情好转停服。1月后病情加重,又服萘普生200mg。10min后病人全身瘙痒,满布粟粒样红色丘疹,尤以四肢明显,并出现头晕、胸闷、心慌乏力,恶心呕吐。同时全身丘疹逐渐消失,皮肤转为潮红,麻木瘙痒感难忍。服绿豆水后休息5~6h缓解。间隔10d后,病人再服荼普生200mg, 再次出现上述症状,急来我院就诊。查体:全身冷汗,面色苍白,口唇
Patient, male, 56 years old, worker. Due to dizziness, numbness upper extremity discomfort, diagnosed by X-ray films such as cervical spondylosis. Oral naproxen (Shandong Laiyang Pharmaceutical Factory, lot number 900519,100mg / tablet) 200mg, 3 times a day, and even serving 300, the condition improved stop taking. After 1 month aggravating, but also naproxen 200mg. After 10min the patient was itchy, covered with miliary red papules, especially in limbs obvious, and dizziness, chest tightness, palpitation, nausea and vomiting. At the same time systemic papules gradually disappear, the skin turned flushing, numbness, itching unbearable. After serving mung bean water rest 5 ~ 6h ease. After an interval of 10d, the patient was served 200mg Tetrax again, the above symptoms, urgent to our hospital. Physical examination: body sweat, pale, lips