摘要
目的分析三维皮肤CT检查在纠正水痘误诊中的作用,减少误诊误治,采用中西医结合方法治疗误诊水痘病例。方法回顾性分析2019年1—12月大连市第六人民医院和大连市皮肤病医院门诊16例误诊为其他疾病的水痘临床资料。三维皮肤CT对皮疹进行检查;中西医结合方法治疗:口服伐昔洛韦片和连花清瘟胶囊、外用喷昔洛韦膏联合重组人干扰素α2b凝胶治疗。结果①三维皮肤CT:16例患者临床表现不典型,但其皮肤CT检测均能发现并提示特异的病理学改变,从而辅助临床诊断。②疗效:16例患者一疗程痊愈11例,痊愈率为68.75%,好转5例,总有效率100.00%;二疗程痊愈16例,痊愈率100.00%。③不良反应:轻微。结论皮肤CT检查可以纠正水痘误诊,在诊治水痘中有重要作用;中西医结合方法治疗水痘安全高效。
Objective To analyze the role of three-dimensional skin CT examination in correcting the misdiagnosis of varicella to reduce misdiagnosis and mistreatment,and to analyze the combined Chinese and Western medicine to treat misdiagnosed varicella cases.Methods The clinical data of 16 cases of varicella misdiagnosed as other diseases in the outpatient clinic(Dalian Sixth People's Hospital,Dalian Dermatosis Hospital)from January to December 2019 were retrospectively analyzed.Three-dimensional skin CT was used to check the rash.They were treated with integrated traditional Chinese and western medicine:oral valacyclovir tablets and Lianhua Qingwen Capsules,combined with topical penciclovir ointment recombinant human interferonα2b gel treatment.Results①Three-dimensional skin CT:Although the clinical manifestations of 16 patients were atypical,their skin CT examinations could find and suggest specific pathological changes,thereby assisting clinical diagnosis.②Curative effect:11 cases in 16 patients were cured in one course of treatment(the cure rate was 68.75%),and 5 cases were improved(total effective rate was 100.00%);16 patients were cured in the second course of treatment(the cure rate was 100.00%).③The adverse reactions were mild.Conclusion Skin CT examination can correct the misdiagnosis of chickenpox and play a significant role in the diagnosis and treatment of chickenpox.The combination of Chinese and western medicine is safe and effective in treating chickenpox.
作者
郭晓楠
郑雯
彭琳琳
GUO Xiaonan;ZHENG Wen;PENG Linlin(Intensive Care Unit,Dalian Sixth People's Hospital,Dalian116031,China;Dermatology Clinic,Dalian Dermatosis Hospital,Dalian116021,China;Department of Pathology,Dermatology Clinic,Dalian Dermatosis Hospital,Dalian116021,China)
出处
《中国现代医生》
2021年第7期103-106,共4页
China Modern Doctor
关键词
皮肤CT
水痘
误诊
中西医结合
Confocal laser scanning microscopy
Varicella
Misdiagnose
Integrated traditional Chinese and western medicine
