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BMJ:住院病人为何会出现晒伤?

2016-01-21 MedSci MedSci原创

下面这名患者因心脏衰竭接受住院治疗,季节是夏季,病床位置处于病房靠窗处。但是在患者住院接受治疗的期间,其左侧手臂处出现日益严重的红斑,最后发展为水疱(如下图所示)。

下面这名患者因心脏衰竭接受住院治疗,季节是夏季,病床位置处于病房靠窗处。但是在患者住院接受治疗的期间,其左侧手臂处出现日益严重的红斑,最后发展为水疱(如下图所示)。



诊断最终确诊为晒伤。

因为患者治疗期间服用了胺碘酮,此药可诱导10-75%的患者出现光敏性。并没有对患者行下一步的检查,也并未改变其治疗管理策略,但是仅仅调整了其病床避开了窗户便解决了患者的皮疹问题。

对于接受光敏药物治疗的患者,即使是住院患者,都应考虑防晒问题,以免引起晒伤。

原始出处:

Catherine Bunnell, Trevor Rogers. Sunburnt on a hospital ward. BMJ 2016; 352 doi: http://dx.doi.org/10.1136/bmj.i18 (Published 20 January 2016)Cite this as: BMJ 2016;352:i18.

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1847877, encodeId=b61c184e877ad, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Mon May 30 16:56:00 CST 2016, time=2016-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=61120, encodeId=8e47611208d, content=意外?, beContent=null, objectType=article, channel=null, level=null, likeNumber=151, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=240a1683959, createdName=李继凯, createdTime=Wed Jan 27 18:47:00 CST 2016, time=2016-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=61121, encodeId=98dd611216c, content=求真相, beContent=null, objectType=article, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=240a1683959, createdName=李继凯, createdTime=Wed Jan 27 18:47:00 CST 2016, time=2016-01-27, status=1, ipAttribution=)]
    2016-05-30 gaoxiaoe
  2. [GetPortalCommentsPageByObjectIdResponse(id=1847877, encodeId=b61c184e877ad, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Mon May 30 16:56:00 CST 2016, time=2016-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=61120, encodeId=8e47611208d, content=意外?, beContent=null, objectType=article, channel=null, level=null, likeNumber=151, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=240a1683959, createdName=李继凯, createdTime=Wed Jan 27 18:47:00 CST 2016, time=2016-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=61121, encodeId=98dd611216c, content=求真相, beContent=null, objectType=article, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=240a1683959, createdName=李继凯, createdTime=Wed Jan 27 18:47:00 CST 2016, time=2016-01-27, status=1, ipAttribution=)]
    2016-01-27 李继凯

    意外?

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1847877, encodeId=b61c184e877ad, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Mon May 30 16:56:00 CST 2016, time=2016-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=61120, encodeId=8e47611208d, content=意外?, beContent=null, objectType=article, channel=null, level=null, likeNumber=151, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=240a1683959, createdName=李继凯, createdTime=Wed Jan 27 18:47:00 CST 2016, time=2016-01-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=61121, encodeId=98dd611216c, content=求真相, beContent=null, objectType=article, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=240a1683959, createdName=李继凯, createdTime=Wed Jan 27 18:47:00 CST 2016, time=2016-01-27, status=1, ipAttribution=)]
    2016-01-27 李继凯

    求真相

    0

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