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带状疱疹病毒性多颅神经炎案
患者,女,78岁,于2010年5月4日入院.主诉:右枕项部簇性疱疹伴疼痛,右眼内斜视25天.病史:25天前感冒后右侧枕项部出现簇状疱疹,呈阵发性针刺烧灼样疼痛,并逐渐出现右侧眼球内斜视,伴有复视,口角轻度下垂,进食食物滞留颊部,平素怕冷恶风,四肢肤温偏低,喜食热饮,胃纳欠佳,大便日行1次,质偏稀,夜尿每晚3~5次.
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The Ji De Sheng She Yao tablet (季德胜蛇药片)is a drug for snake-bites and insect bites. According to recent reports, this drug has been used to treat herpes zoster, hepatitis B, parotitis, nephrotic syndrome, acute conjunctivitis, recurrent aphtha, urticaria, etc.1 with good therapeutic effects. More than half of the AIDS patients suffered from herpes zoster. The area of skin lesion in AIDS patients is larger than that of the patients without AIDS and the pain lasts longer. Many cases have keloids and depigmentation for months, even severe pain till their death. Routine therapeutic methods are not satisfactory in therapeutic effects. The expert group of traditional Chinese medicine for cooperative research on AIDS used Ji De Sheng She Yao tablets (季德胜蛇药片) to treat AIDS complicated by herpes zoster for the first time and the results are reported as follows.
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Case History Song××, a male middle school teacher aged 58 years, paid his first visit on August 7, 2000, with the chief complaint of pain in the left hypochondrium for 20 days. The patient stated that he suddenly got a sharp burning pain in the left hypochondrium in mid July. The pain gradually radiated to the upper abdominal area, meanwhile red herpes appeared in the hypochondriac region. He had been diagnosed as having herpes zoster, and treated in several nearby hospitals with fluid infusion and medication. As a result, the herpes partly disappeared. But the sharp burning pain still remained, which could not be relieved by administration of analgetics. The patient was then recommended by his friends for treatment here. The patient used to be in a anxious state of mind, and had a wiry pulse and disorder of the liver-qi. The patients had been disturbed by problems of his students and worried about his aged mother's illness, and had poor sleep. Physical examination showed that the patient had a slightly fat figure and sickly complexion, but was in a clear mind. His blood pressure was 140/90 mmHg, and heart rate 75 times/min. No abnormal signs were found in the heart and lungs. Prominent dark red herpes with obvious local tenderness was found on the skin surface of the left hypochondrium and upper abdome.
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海洛因依赖合并HIV感染和带状疱疹后猝死一例
患者,男,23a,无业,因发热、呼吸困难,于2002年11月25日4:00入院抢救.患者有静脉注射海洛因史6a,入院前2个月,曾患右胸部带状疱疹合并化脓感染,查血HⅣ(+),经抗病毒、抗感染等治疗后约20d后方治愈.
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急性带状疱疹的药物治疗
临床急性带状疱疹(Acute herpes zoster,AHZ)是春、秋季易流行的由水痘-带状疱疹病毒(Varicella zoster virus,VZV)引起的一种以较剧烈疼痛为特征的疾病.据报道,一般非肿瘤住院病人中,带状疱疹的发病率为0.22%,白血病为2%,其它恶性肿瘤为0.46%,大剂量接受放疗和化疗的骨髓移植受者带状疱疹的发病率高达50%以上,约1/3发生播散,非住院患者中,带状疱疹的发病率为0.5%,自从艾滋病出现以来,发病率有上升的趋势.老年人和患有慢性消耗性疾病的人容易感染带状疱疹,2/3的病例在45岁以上,并随年龄增大,发病率和严重性亦增加.
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刺络拔罐为主配合口服中药治疗带状疱疹35例
带状疱疹是由水痘-带状疱疹病毒(VZV)引起的常见皮肤病,伴有剧烈的神经痛,常出现在头颈部、胸胁间,腰及下肢等亦可能出现.临床症状表现重,病程长,而且治疗也较棘手.受"麻疹宜透""清热解毒"治则的启发,笔者确立了"开""排"泄毒的治则,近5年来,采取在大椎、完骨、至阳等穴以及出疱疹处依次运用梅花针(开)刺络拔罐(排)的方法,拔出瘀血汁沫,同时配合中药龙胆泻肝汤治疗35例,临床疗效满意,现报告如下.
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氦一氖激光治疗带状疱疹疗效观察
带状疱疹是一种沿周围神经分布,以群集性单侧带状分布伴明显疼痛为主要表现的病毒性疾病.以中老年较多,年龄越大,疼痛越重.早发现、早诊断及早治疗是缩短病程、减轻后遗症的关键.
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中药熏蒸治疗带状疱疹的护理体会
带状疱疹是一种由水痘-带状疱疹病毒引起的急性炎症性皮肤病,临床表现为沿身体一侧周围神经作带状分布的成群水疱,伴神经痛和局部淋巴结肿大,愈后极少复发.因其皮肤上有红斑、水疱,累累串珠,每多缠腰而发,故又名"缠腰火丹",<外科启玄>称为"蜘蛛疮".2009年-2011年我院采用综合疗法治疗带状疱疹病人160例,效果满意.现将护理体会介绍如下.
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高浓度高锰酸钾液外用辅助治疗带状疱疹
近年来,病毒性感染皮肤病发病率有逐年增加趋势,抗病毒药物病毒灵、病毒唑、聚肌胞疗效差,万乃洛韦、干扰素又因价格较贵不能广泛应用.近,我们用高浓度高锰酸钾液外用,加肌肉注射聚肌胞、内服维生素类及解热镇痛药物治疗带状疱疹,收到了满意的治疗效果.现将治疗效果及护理报告如下.
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1例播散性带状疱疹并发血小板减少症病人的护理
带状疱疹是由水痘-带状疱疹病毒引起的沿周围神经分布群集疱疹及神经痛为特征的病毒性皮肤病.播散性带状疱疹是带状疱疹中凶险的类型,其发生与机体免疫功能低下有一定关系,多见于老年人.
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小儿带状疱疹的护理
带状疱疹(PHN)是一种传染性疾病,是由于感染水痘-带状疱疹病毒而引起的,是一种以神经痛和沿周围神经分布的群集疱疹为特征的一种病毒性皮肤病,在中医中又称"蛇丹"、"缠腰火丹",传染性较强,多发于春秋季节.患有此病的患者一般都会先有疲倦无力,轻度发热,食欲不振等症状,而且患者的患处皮肤会有神经痛或者是灼热感.
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老年糖尿病患者合并带状疱疹分析
带状疱疹是由水痘-带状疱疹病毒所引起的神经、皮肤损害的急性疾病,主要在人体免疫功能降低时发病[1].老年人由于抵抗力低下,同时存在疲劳、感染等多种促发因素,易诱发带状疱疹,据报道≥60岁的老年人占20%~30%,并且有逐年增高的趋势[2].而老年糖尿病患者由于存在不同程度的末梢神经及微循环病变,虽然糖尿病合并带状疱疹(diabetes with herpes zoster, DHZ)临床相对少见,但症状较老年非糖尿病性带状疱疹(non-diabetic herpes zoster, NDHZ)更为严重,影响老年人的生命质量.因此本文对我院16例老年DHZ患者进行了回顾性分析.
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带状疱疹患者单一核细胞Toll样受体3和9的表达
目的 探讨Toll样受体TLR3和TLR9在带状疱疹发病机制中的作用.方法 采用流式细胞仪检测40例带状疱疹患者外周血单一核细胞(PBMC)上TLR3和TLR9的表达水平.16例正常人群为对照组.结果 带状疱疹患者PBMC上TLR3和TLR9的表达水平均明显高于正常人对照组(P<0.01).带状疱疹患者PBMC上TIR3和TLR9的表达水平与发病时间存在负相关关系(r值分别为- 6.23,-5.88,P值均<0.01),但与性别、年龄无相关性.带状疱疹患者PBMC上TLR3和TLR9表达在各年龄组间(< 40岁,40 ~ 50岁,>50岁),差异具有统计学意义(F=3.410,P<0.01),且<40岁年龄组TLR3和TLR9的表达明显高于其他两组.结论 TLR3和TLR9可能参与带状疱疹发病.
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三叉神经部位带状疱疹的联合治疗效果分析
带状疱疹是由水痘-带状疱疹病毒引起的急性感染性皮肤病,主要侵犯皮肤和神经系统,三叉神经部位的带状疱疹所占比率较小,临床多见于老年人,症状严重、疼痛剧烈、常合并多种严重的并发症.海南医学院附属医院皮肤科近5年来选用无环鸟苷、地塞米松(对照组)和伐昔洛韦、胸腺肽、地塞米松与He-Ne激光联合(治疗组)治疗85例三叉神经带状疱疹患者,取得较好效果,结果报告如下.
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点式直线偏振光近红外线治疗带状疱疹临床观察
我科自2002年10月至2004年12月应用点式直线偏振光近红外线仪(Super lizer SL)配合药物综合治疗带状疱疹(HZ),与同期的单纯药物治疗进行比较,疗效得以显著提高,报告如下.
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中西医治疗带状疱疹的应用现状
带状疱疹(Herpes Zoster),是一种由"水痘-带状疱疹病毒"引起的病毒感染性疾病,又称腰缠火丹、串疮、蜘蛛疮等[1].以簇集性小疱疹、神经痛为主要症状.侵犯三叉神经、耳神经及面神经时,严重者可造成失明、失聪、面瘫等,少数患者可留有后遗神经痛[2],疼痛夜间为重,甚者不能入眠,使患者饱受折磨.西医治疗带状疱疹以抗病毒为主,辅以营养神经、止痛、抗焦虑等药物,宜在疾病早期应用,且多为两种以上联合用药,并且根据病情加以相应的辅助治疗;中医治疗带状疱疹主要通过辨证施治进行内服外敷中药、拔罐、针灸、艾灸、火针法等,尤其以上几种方法联合应用,效果显著,特别对带状疱疹的后遗神经痛疗效更佳.