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【病例】患者,女,56岁,因“少量阴道流血10 d,宫颈病变待查”入院。既往糖尿病病史17 a,使用胰岛素控制血糖。否认肝炎、伤寒、疟疾、结核等传染病史,无外伤、手术、输血史,否认青霉素、磺胺类及头孢菌素类等药物过敏史,否认花粉、皮毛以及季节性过敏史。入院查体:t 37℃,P 80次·min~(-1),R 20次·min~(-1),BP 142/92 mmHg(1 mm Hg=0.133 kPa)。神志清楚,发育好,自主体位,对答切题,查体合作。门诊诊断为宫颈鳞癌IB 1期和糖尿病,遂入院行手术治疗。宫颈癌术后1 d开始体温波动,至第3天,腹部切口无红肿、出血及渗出,夜间患者出现发热(t达39.3℃),即刻给予吲哚美辛栓(上海现代制药股份有限公司,批号110502,每枚100 mg)50 mg,直肠
[Case] patients, female, 56 years old, because of “a small amount of vaginal bleeding 10 d, cervical lesions to be checked ” admission. Past history of diabetes 17 a, the use of insulin to control blood sugar. Denied the history of infectious diseases such as hepatitis, typhoid fever, malaria and tuberculosis, no history of trauma, surgery, and blood transfusion, denied the history of allergy to penicillins, sulfonamides and cephalosporins, and denied the history of pollen, fur and seasonal allergies. Admission examination: t 37 ℃, P 80 times · min -1, R 20 times · min -1, BP 142/92 mmHg (1 mm Hg = 0.133 kPa). Conscious, well-developed, self-positioning, the answer questions, physical examination. Outpatient diagnosis of cervical squamous cell carcinoma of IB 1 and diabetes, then admitted to hospital for surgery. Body temperature fluctuated at 1 day after cervical cancer. On day 3, there was no swelling, bleeding and exudation of abdominal incision, and fever occurred in nighttime (t = 39.3 ℃), indometacin suppository was immediately given (Shanghai Modern Pharmaceutical Co., Ltd. , Lot 110502, 100 mg each) 50 mg, rectum