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1 临床资料 患者,女,47岁,护士,因子宫肌瘤继发性贫血入院治疗。患者因防止骨质疏松,每天服钙尔奇-D600 mg,tid,已连服30 d,病人有子宫肌瘤.月经过多病史12 a,近一年加重,行经时需服妇血宁等止血药物对症治疗,1996年10月29日因经血过多,遵医嘱服妇血宁5片,tid,同时口服钙尔奇-D600mg,qd,未服其它任何药物及特殊饮食,经血量有所减少,4 d后,晨起自觉身痒不适。查体:T:36.5℃,BP:16kPa/10kPa,P:82次/min,呈轻度贫血貌,皮肤有散在的丘疹,色稍红,质稍硬,高出皮肤表面,以躯干为主,心肺未闻及异常,立即停用上述两种口服药,给予马来那敏8 mg,bid,维生素C 200 mg,tid,次日搔痒症状有所减轻,丘疹逐渐减少,直至第8天全部消失。患者既往有青霉素过敏史(皮疹),有月经
1 Clinical data Patients, female, 47 years old, nurses, due to uterine fibroids secondary anemia admitted to hospital. Patients due to prevent osteoporosis, daily serving of calcium-odd-D600 mg, tid, has been served for 30 days, the patient has uterine fibroids .Many menstrual history 12 a, nearly a year aggravating, when menstruation Fuxunning et al Hemostatic drugs symptomatic treatment, October 29, 1996 due to excessive menstrual flow, according to the doctor prescribed Fuxuening 5, tid, while oral calcium Erqi-D600mg, qd, did not take any other drugs and special diet, menstrual blood volume Reduced, 4 d, the morning consciously feel itchy. Check the body: T: 36.5 ℃, BP: 16kPa / 10kPa, P: 82 times / min, mild anemia appearance, the skin scattered papules, slightly reddish color, slightly hard, higher than the skin surface, mainly to the trunk , Heart and lungs are not known and abnormal, immediately stop using the two oral drugs, given malayaminer 8 mg, bid, vitamin C 200 mg, tid, itchy symptoms the next day has eased, pimples gradually reduced until the first 8 days disappear. Past history of penicillin allergy (rash), have menstruation