论文部分内容阅读
患者黄×,男,40岁,已婚,工人。因阴茎异常勃起,右下肢皮肤瘙痒15天,于1986年1月24日以皮肤湿疹入我院外科。患者在入院前15天出现阴茎昼夜勃起,不时排放精液。同时感右下肢皮肤发痒,且呈游走上升性。初时在踝关节周围,继为小腿,大腿、阴囊周围。开始尚能忍受,后皮痒难受,虽用多种中药单方仍无效,只能每天以温水淋浴获暂时缓解。在本单位经各种对症治疗仍然无效,皮痒、阴茎勃起依旧,彻夜难眠。入院前两天感喉痒不适,吞咽困难,门诊查咽喉部,吞钡检查食道均无异常发现。体检:体温38.5℃,脉搏120次/分,呼吸28次/分,血压14.7/9.3千帕,余仅见右下肢、会阴部皮肤有广泛手抓痕迹,阴茎勃起,口腔分泌物较多。入院第2天上午出现惊恐、怕风、恐水症状,全身多汗,口吐白沫,似狂犬病。经追问病史,只发现在13岁时被狂犬咬伤过右足跟部,当时出血不多,事后仅
Patient Yellow ×, male, 40 years old, married, worker. Due to abnormal penis erection, right lower extremity itch skin 15 days, January 24, 1986 with skin eczema into our hospital surgery. Patients with penile diurnal erection 15 days before admission, from time to time discharge of semen. At the same time feel the right lower extremity itchy skin, and was walking and rising. Initially around the ankle, following the leg, thigh, scrotum around. The beginning can still endure, itchy skin, although a variety of traditional Chinese medicine is still ineffective, only a temporary shower with warm water was temporarily relieved. In this unit by a variety of symptomatic treatment is still invalid, itchy skin, still erect penis, sleepless nights. Two days before admission, itchy throat, swallowing difficulties, out-patient examination throat, swallow barium check the esophagus were no abnormal findings. Physical examination: body temperature 38.5 ℃, pulse 120 beats / min, breathing 28 beats / min, blood pressure 14.7 / 9.3 kPa, I only see the right lower limbs, perineal skin with extensive hand marks, penile erection, oral secretions more. The morning of the second day of hospitalization appeared panic, fear of wind, fear of water symptoms, body sweating, foaming at the mouth, like rabies. After the medical history, only found at the age of 13 rabbits were bitten by the right heel, when bleeding is small, only afterwards