红皮病120例病因分析教案.pdfVIP

74 论著 红皮病120例病因分析 孙怡1．赵克宁2王玉坤1 (1．山东大学齐鲁医院皮肤科，山东济南250012；2．潍坊市人民医院皮肤科，山东潍坊261041) [摘要]目的：探讨红皮病的病因及并发感染的情况。方法：回顾性分析120例红皮病患者的临床资料。结果：120例患者中 73．3％红皮病继发于原有皮肤病，其他致病原因依次为药物过敏、肿瘤，部分原因不明。28．3％并发感染的红皮病患者中，41～60 蛋白正常组患者，差异亦有统计学意义(P0．01)。结论：红皮病病因多种多样，不能忽视非常见病因的存在。随着年龄的增长 和血浆白蛋白的降低，红皮病患者的感染率增加，应注意皮肤护理及早期支持治疗。 [关键词1红皮病；病因分析；感染 『中图分类号]R758．67-[文献标识码1A [文章编号] 1000—4963(2007)02—0074—03 of of120casesof Analysisetiology erythroderma SUN Yu-kun Yi，ZHAOKe-ning，WANG of (DepartmentDermatology,QiluHospital,ShandongUniversity,Ji’holt250012，China) the and infectionof datafrom120 【Abstract]Objective：Toexploreetiologycomplicated casesof were most causeof wastheexacerbationof erythrodermaretrospectivelyanalyzed．Results：Thefrequent erythroderma the skin and 120 were previousdiseases(73．3％)，followedbydrugreactions，malignanciesunknown-origin．28．3％ofpatients withinfections．Theinfectionrateofthe whowas than40waslowerthanthe40—60andolder complicated group younger thanthe60 differencewas infectionrateofthe with groups，respectively，thesignificant沪O．05)．The group miawas thanthatofthe whithout differencewas higher group hypoalbuminemia，the throdermaisa ofvarious causeof shouldnotbe increase withthe syndrome causes．Infrequenterythroderma neglected．Along of ofthe andthedecrease albuminlevel，therateofinfectinrateofthe with age plasma patientserythroderma careand nutrition are inthetreat