CAJ | 학술논문

带状疱疹是一种常见的病毒性皮肤病,与水痘为同一种水痘-带状疱疹病毒(VZV)所引起,在无或免疫力低下的人群(多数为儿童)初次感染此病毒后,临床上表现为水痘或呈隐匿性行感染,以后此病毒进入皮肤的感觉神经末梢,且沿着脊髓后根或三叉神经节的神经纤维向中心移动,持久的潜伏于脊髓后根神经节的神经元中。在各种诱发刺激的作用下,潜伏的病毒再次被激活,生长繁殖,使受侵犯的神经节发炎坏死,产生神经痛。同时,在活动的病毒可沿着周围神经纤维而移动到皮肤,在皮肤上产生带状疱疹所特有的阶段性水疱疹[1]。本文回顾性分析1例患者因失治,导致腰背部产生成簇水疱,丘疱疹。治疗上给予膦甲酸钠氯化钠注射液(可耐)3.0静脉滴注,输注时间>2 h,1次/d,口服甲钴胺片0.5 mg,3次/d,维生素B1片10 mg,3次/d,疗效满意。
대상포진시일충상견적병독성피부병,여수두위동일충수두-대상포진병독(VZV)소인기,재무혹면역력저하적인군(다수위인동)초차감염차병독후,림상상표현위수두혹정은닉성행감염,이후차병독진입피부적감각신경말소,차연착척수후근혹삼차신경절적신경섬유향중심이동,지구적잠복우척수후근신경절적신경원중。재각충유발자격적작용하,잠복적병독재차피격활,생장번식,사수침범적신경절발염배사,산생신경통。동시,재활동적병독가연착주위신경섬유이이동도피부,재피부상산생대상포진소특유적계단성수포진[1]。본문회고성분석1례환자인실치,도치요배부산생성족수포,구포진。치료상급여련갑산납록화납주사액(가내)3.0정맥적주,수주시간>2 h,1차/d,구복갑고알편0.5 mg,3차/d,유생소B1편10 mg,3차/d,료효만의。
Shingles is a common viral skin diseases, and for the same kind of chickenpox varicella - zoster virus (VZV) caused, in the absence or immunocompromised people (mostly children) primary infection with this virus after the clinical manifestations of infection with chickenpox or were concealed sexual activity, after the virus enters the skin sensory nerve endings and nerve fibers along the spinal cord to the center section of the trigeminal nerve root or mobile, durable lurking in the spinal dorsal root ganglia neurons. Inducing stimuli in a variety of roles, latent virus is activated again, growth and reproduction, so that violations of ganglion inflammation and necrosis, resulting in neuralgia. Meanwhile, the active virus can be moved along the circumference of the nerve fibers in the skin, resulting in a unique stage herpes zoster skin herpes water [1]. This retrospective analysis of one patient due to loss of governance, resulting in lower back produces clusters of blisters, Qiu herpes. Given the treatment foscarnet sodium chloride injection (resistant) 3.0 intravenously infusion time>2h, once daily, oral mecobalamin piece 0.5mg, 3 times a day, vitamin B1 tablets 10mg, daily three times, the results were satisfactory, the first report is as follows