| 职业性三氯乙烯药疹样皮炎52例临床分析 |
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| 引用本文： | 张健杰,邱少宏,司徒洁,陈志军,王金林,李辉,唐玉宏,钦卓辉,罗伶俐,韦始亮. 职业性三氯乙烯药疹样皮炎52例临床分析[J]. 职业与健康, 2010, 26(7): 757-758 |
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| 作者姓名： | 张健杰 邱少宏 司徒洁 陈志军 王金林 李辉 唐玉宏 钦卓辉 罗伶俐 韦始亮 |
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| 作者单位： | 广东省深圳市职业病防治院,518001 |
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| 摘 要： | 目的探讨职业性三氯乙烯(TCE)药疹样皮炎的早期诊断和治疗经验。方法对52TCE药疹样皮炎患者的临床资料进行回顾性分析。结果发病潜伏期为5～122d,平均36.8d。住院前非正规治疗时间为3～20d,平均10.7d。总发热47例(90.4%),皮疹52例(100.0%),ALT或AST活力增高52例(100.0%),剥脱型皮炎37例(71.2%),多型红斑11例(21.2%),重型多形红斑3例(5.8%),大疱表皮松懈坏死症1例(1.9%)。痊愈49例,好转自动出院3例,治愈好转率100.0%。平均住院病程73.5d,使用糖皮质激素平均时间68.9d。结论对接触TCE者,一旦出现发热、皮疹或感冒等症状,应首先考虑到TCE药疹样皮炎的可能性。TCE药疹样皮炎除发热、皮疹外,多伴肝功能异常。早期、足量使用糖皮质激素可有效控制病情。
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| 关 键 词： | 三氯乙烯 药疹样皮炎 早期诊断 治疗 |
Clinical Analysis on 52 Cases of Occupational Medicamentosa-like Dermatitis Induced by Trichloroethylene |
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| ZHANG Jian-jie,QIU Shao-hong,SITU Jie,et al.. Clinical Analysis on 52 Cases of Occupational Medicamentosa-like Dermatitis Induced by Trichloroethylene[J]. Occupation and Health, 2010, 26(7): 757-758 |
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| Authors: | ZHANG Jian-jie QIU Shao-hong SITU Jie et al. |
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| Affiliation: | ZHANG Jian-jie,QIU Shao-hong,SITU Jie,et al.(Shenzhen Hospital of Occupational Diseases,Guangdong 518001,China) |
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| Abstract: | [Objective]To study the early diagnosis and treatment experience of occupational medicamentosa-like dermatitis caused by trichloroethylene (TCE).[Methods]The clinical data of 52 patients with TCE-induced medicamentosa-like dermatitis were analyzed retrospectively.[Results]The latent period varied from 5 to122 days,and average was 36.8 days. The time of non-regular treatment before hospitalization ranged from 3 to 12 days,and average was 10.7 days. There were 47 cases with fever (90.3%),52 cases with dermati... |
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| Keywords: | Trichloroethylene Medicamentosa-like dermatitis Early diagnosis Treatment |
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