中毒性表皮坏死松解症(TEN)是一种急性皮肤炎症反应,属于重型药疹的一类。随着抗生素、非甾体类解热镇痛等药物在救治危重患者中的广泛应用,TEN在临床上,特别是ICU病房中其发病率有增高趋势。TEN病死率较高,且对危重患者的整体预后有较大影响。本文报道南京军区南京总医院普通外科收治的1例重症急性胰腺炎患者,应用阿司匹林预防血栓及栓塞并发症过程中并发TEN,总结该病的诊断和治疗经验以供临床医师参考。
Toxic epidermal necrolysis (TEN) is an acute skin inflammation, which belongs to heavy drug eruption. With the extensive and widespread use of antibiotics, nonsteroi- dal antipyretic analgesics and other pharmacotherapies in the treatment of critically ill patients, the trend of morbidity of TEN is gradually increased, especially in intensive care unit. In con- sideration of the high mortality rate of TEN and its great influence on the overall prognosis of patients with critical illness, we sum- marized the diagnosis and treatment experiences in the manage- ment of TEN based on retrospective analysis of one patient with severe acute pancreatitis and TEN.