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就如何防治药源性剥脱性皮炎的对策

来源:华人健康网 | 发布时间:2010-07-24 10:33:47 | www.chinesejk.com

  严格掌握用药指征,合理用药。详细询问过敏史,注意同类和具有相似结构药物之间的交叉过敏反应,如对磺胺类药物过敏者,对甲苯磺丁脲等降血糖药也常过敏。对于有药物过敏史、高敏体质患者,应特别谨慎。重视对药物不良反应的观察,一旦发生,立即停药,并积极对症治疗。

  病情较轻者可口服维生素C、泼尼松、抗组胺药或将部分药物加入输液中静脉滴注;对伴有高热、毒血症或明显肝、肾、心、造血系统损害者,应尽早用地塞米松10~20 mg和维生素C 3 g加入输液中静脉滴注,选用合适抗生素控制继发感染,并注意重要脏器功能的检查和保护;加强消毒隔离措施,预防继发感染;注意患者口腔、眼睛、会阴与肛周清洁卫生,定期翻身预防褥疮发生,并注意患者心理及饮食护理。

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