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The treatment of allergic drug eruption

2012年09月06日

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The treatment of allergic drug eruption

 

 

ChenJiYing Wuhan wuchang hospital south lake sorting

 

 

China's traditional Chinese medicine to

 

 

 

        Take the medicine of improper drug eruption, the physical wreck are more likely to suffer from drug eruption. The cause of drug eruption is mostly due to improper use or caused by drug abuse, need attention.

 

        In the sensitized drug, antibiotics accounted for the first, especially to penicillin and cephalosporin drugs highest proportion, followed by antipyretic analgesic, this and drug eruption primary disease patients with infectious diseases for multiphase consistent. Antipyretic analgesic drug eruption caused by cases, mostly from suit cold medicines or antipyretic caused by painkillers. This kind of patient repeated drug eruption is more, skin rash type with polymorphic erythema, fixed drug eruption see more, or can appear exfoliative dermatitis.

 

        Traditional Chinese medicine or proprietary Chinese medicine drug eruption caused should also be caused take seriously, mainly taking contains bombyx batryticatus, cicada skin, turtle shell, dried venom of toads and other components of traditional Chinese medicine or caused by traditional Chinese medicine. Cases of drug eruption cases had clear take Chinese traditional medicine or proprietary Chinese medicine history.

 

        The most common drug eruption is a single or several sizes of blisters, single blisters in the middle of the back of the tongue position good hair, blister burst, namely form erosion or ulcer surface, assumes the circular or class round, well-defined. Skin lesion often for edema sex purplish red spots, oval, round, size differ, boundary clear, also can be used for papula, blister, or in erythema appear on the blisters. Oral and genital, brothers and sisters and back, the trunk is a common place drug eruption. Systemic symptom general is not obvious. Another attack drug eruption, damage often appears in the comparative fixed position, so it is also called the fixity drug eruption. May still can happen systemic universality bulla, and involve the body the bladder mucosa and visceral, called toxic epidermal necrolysis, but also for the performance of the exfoliative dermatitis and allergy, etc.

 

        Treatment of drug eruption should avoid antigen material, namely allergens. Disable, gastric disorder suspicious sensitization drugs, food, as far as possible to avoid can sensitization of animals, plants, chemical raw materials and other material. More water, to speed up the sensitized material discharge. Treatment, take antihistamines, optional chlorpheniramine 4 milligrams, oral 3 times a day. Pyrrole alcohol amine 2 mg, oral twice daily, or pyrrole alcohol amine 2 mg, muscle note, twice daily, Available epinephrine (1 mg/branch) 0.25 ~ 0.5 mg, subcutaneous injection, or with isopropyl epinephrine (1 mg/branch) 0.2 ~ 0.4 mg and 5% glucose 500 ml of intravenous drip, Also can use adrenal cortex steroid drugs, such as prednisone, dexamethasone, times include it. Severe person with hydrogen can turn of pine 200 ~ 400 mg, intravenous drip, daily one time. Still can use 10% calcium gluconate and ascorbic acid 0.5 ~ 1.0 g, slow static note, once a day. Chinese traditional medicine can take allergy Fried (radix bupleuri, wind, fruit of Chinese magnoliavine, plum, liquorice), or extinction wind scattered, qing with this camp. Local can consider coating calamine liquid powder.