CAJ | 학술논문

1例63岁男性患者,既往体健,因自行服用藿香正气水12支/天致乏力加重、行走困难、腹泻入院,继而出现茶色尿及面颊部皮疹,测血清肌酸激酶(CK)、乳酸脱氢酶(LDH)、天门冬氨酸氨基转移酶(AST)、丙氨酸氨基转移酶(ALT)增高,经皮肤科、风湿科会诊后诊断为"皮肌炎".入院后给予注射用甲基强的松龙(80 mg,ivgtt,qd)、注射用氢化可的松(100 mg,ivgtt, tid)抗炎,注射用比阿培南(0.3 g,ivgtt,tid)抗感染,去甲肾上腺素注射液持续微泵维持升压,另辅以护肝、补液及对症支持治疗.入院第6天,复查患者生化指标已基本恢复正常,体温正常,炎症指标下降,面部皮疹结痂,病情好转.
1례63세남성환자,기왕체건,인자행복용곽향정기수12지/천치핍력가중、행주곤난、복사입원,계이출현다색뇨급면협부피진,측혈청기산격매(CK)、유산탈경매(LDH)、천문동안산안기전이매(AST)、병안산안기전이매(ALT)증고,경피부과、풍습과회진후진단위"피기염".입원후급여주사용갑기강적송룡(80 mg,ivgtt,qd)、주사용경화가적송(100 mg,ivgtt, tid)항염,주사용비아배남(0.3 g,ivgtt,tid)항감염,거갑신상선소주사액지속미빙유지승압,령보이호간、보액급대증지지치료.입원제6천,복사환자생화지표이기본회복정상,체온정상,염증지표하강,면부피진결가,병정호전.
One 63-year-old male patient was hospitalized due to aggravating weakness, walking difficulty and diarrhea followed by dark brown urine and cheek rash after taking Huoxiangzhengqishui 12 pieces per day with the increase of CK, LDH, AST and ALT in patient, the diagnosis was dermatomyositis. After hospitalization, anti-inflammatory therapy with methylprednisolone (80 mg, ivgtt, qd) and hydrocortisone (100 mg, ivgtt, tid), anti-infection with biapenem (0.3 g, ivgtt, tid), noradrenaline and other symptomatic supporting therapy including liver protection and fluid infusion were given to him. After 6 days, the patient improved.