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患者,女,50岁。于1992年元月30日,因足背烧伤,自服复方磺胺甲基异恶唑片,1g,2次/日,连服3日,周身皮肤出现红色丘疹,瘙痒不止,继而发热,体温38.5～39.5℃,伴周身乏力,饮食不振,恶心呕吐,巩膜黄染。查尿胆素阳性,尿胆原阴性,黄疸指数7u,谷丙转氨酶67活力单位,血清胆红素41.89μmol/L, HBsAg(-),尿隐血试验(-),既往无肝炎病史,诊断为急性黄疸性肝炎而住院。停复方磺胺甲基异恶唑片,予保肝治疗,3天后黄疸消退,复查尿三胆正常,肝功能正常,但体温仍为39.5℃,予抗过敏药治疗后,体温降至正常,临床症状消失,住院7天,痊愈出院。
Patient, female, 50 years old. January 30, 1992, due to foot dorsal burn, self serving Fufang sulfamethoxazole tablets, 1g, 2 times / day, and even served on the 3rd, the whole body skin red papules, itching more than, and then fever, body temperature 38.5 ~ 39.5 ℃, with weakness, loss of appetite, nausea and vomiting, scleral yellow dye. Urine gallstone positive, urinary gallbladder negative, jaundice index 7u, alanine aminotransferase 67 activity units, serum bilirubin 41.89μmol / L, HBsAg (-), urine occult blood test (-), no previous history of hepatitis, diagnosed as Acute jaundice hepatitis and hospitalization. Parkinson’s compound sulfamethoxazole tablets, to protect the liver, 3 days after the jaundice subsided, review urinary gallbladder normal, normal liver function, but the body temperature is still 39.5 ℃, to anti-allergy drug treatment, the body temperature dropped to normal, clinical Symptoms disappeared, hospitalized 7 days, discharged.