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王××,女,51岁,农民,住院号11438。患者因黄疸3月余伴右上腹阵发性绞痛一周于82年3月29日入院。拟诊;总胆管下端癌肿。经讨论决定行剖腹探查术。术中证实为乏特氏壶腹部周围癌肿,遂作Child’s手术。术后虽切口一期愈合但不时高烧,用抗菌素中药等治疗。处方(5月30日):升麻、葛根、柴胡、黄芩各30克,黄连10克,连翘、生山栀、全瓜蒌各20克,薤白5克,生军4克,四剂。隔四日复诊,高烧渐降,胸闷及食欲好转。原方再进三荆。诸恙显
Wang X, female, 51 years old, farmer, hospital number 11438. The patient was admitted to hospital on March 29, 82 due to paroxysmal jaundice for more than 3 months with paroxysmal colic in the right upper quadrant. To be diagnosed; cancer of the lower bile duct. After discussion, a laparotomy was decided. Intraoperative confirmation of periampullary cancer of the pterygium was performed in Child’s surgery. Although the incision healed once after the operation but it was high fever from time to time, it was treated with antibiotics such as traditional Chinese medicine. Prescription (May 30th): Cimicifuga, Pueraria, Bupleurum, Radix Astragali, 30 grams each, Coptis chinensis 10 grams, Forsythia suspensa, Radix quinquefaciens, and Radix quinquefolium each 20 grams, Radix Paeoniae Alba 5 grams, raw army 4 grams, four doses . After a visit every four days, the high fever gradually decreased, chest tightness and improved appetite. The original side entered San Jing again. Zhu Yixian