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患者李××,女,29岁。于1988年4月8日因剖宫产后18天,高烧5天曾在某医院用氨苄青霉素、激素及退热等药物治疗无效转我院就诊,以产褥感染收入院。入院体检:体温40.5℃,脉搏124次/分,呼吸32次/分,血压14.7/9.33KPa;精神软弱,急性重病容;心肺听诊无异常;腹部除右下腹耻骨联合上区有局限性压痛外,余无阳性体征。妇科检查:阴道内有灼热感,少量黄色分泌物无臭味,阴道壁右上1/3处粘膜充血,宫颈口附有脓痂,子宫复旧正常但活动差、轻压痛,右侧附件呈片状增厚压痛。实验室检查除血常规白细胞总数11.9×10~9/L外,余各
Patient Lee × ×, female, 29 years old. April 8, 1988 due to 18 days after cesarean section, high fever 5 days in a hospital with ampicillin, hormones and fever and other drugs invalid treatment transferred to our hospital for treatment of puerperal infection income. Admission physical examination: body temperature 40.5 ℃, pulse 124 beats / min, breathing 32 beats / min, blood pressure 14.7 / 9.33KPa; mental weakness, acute severe illness, no abnormal heart and lung auscultation; , I no positive signs. Gynecological examination: a sense of burning sensation in the vagina, a small amount of yellow secretions no odor, vaginal wall at the top 1/3 of the mucosal congestion, cervix with pus scab, uterine involution of normal but poor activity, mild tenderness, the right attachment was flaky Thickening tenderness Laboratory tests in addition to the total number of conventional leukocytes 11.9 × 10 ~ 9 / L, Yu each