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患者大,38岁,因月经量多伴进行性痛经,以子宫平滑肌瘤,右侧卵巢陈旧性出血性囊肿,慢性宫颈炎等入院。查血 WBC 4.9 ×10~9/L,PLT 156×10~9/L,Hb 90g/L。于入院后第 4天在硬膜外麻醉下行全子宫切除术,左侧卵巢切除。术后病理诊断同术前。术后常规输液,静脉滴注青霉素800万u/日,0.2％甲硝唑注射液500ml/日,术后3天,查血WBC2.74×10~9/L,PLT100×10~9/L,Hb72g/L。 患者乏力、头晕,疑血常规检查有误。故予再次复查(术后4天),血WBC2.74×10~9/L,PLT106×10~9/L,Hb87g/L,即停用甲硝唑,改为卡那霉素 1.0/日静滴。2天后,复查血 WBC 3.9×10~9/L,PLT 189×10~9/L,Hb 83g/L。头晕等症状减轻。术后10天复查血WBC 4.9×10~9/L,PLT 218×10~9/L,Hb 96g/L。患者自觉症状良
Large patients, 38 years old, due to menstrual flow associated with progressive dysmenorrhea, uterine leiomyoma, right ovarian hemorrhagic cysts, chronic cervicitis and other hospitalizations. Check blood WBC 4.9 × 10 ~ 9 / L, PLT 156 × 10 ~ 9 / L, Hb 90g / L. On the fourth day after admission, a total hysterectomy was performed under epidural anesthesia and the left ovariectomized. Postoperative pathological diagnosis with the preoperative. Postoperative routine infusion, intravenous infusion of penicillin 8 million u / day, 0.2% metronidazole injection 500ml / day, 3 days after operation, check blood WBC2.74 × 10 ~ 9 / L, PLT100 × 10 ~ 9 / L , Hb72g / L. Patients with fatigue, dizziness, suspected blood routine examination is wrong. Therefore, to re-review (after 4 days), blood WBC2.74 × 10 ~ 9 / L, PLT106 × 10 ~ 9 / L, Hb87g / L, that is, metronidazole disabled, to kanamycin 1.0 / day Intravenous infusion Two days later, blood WBC 3.9 × 10 ~ 9 / L, PLT 189 × 10 ~ 9 / L, Hb 83g / L. Dizziness and other symptoms reduced. Blood WBC 4.9 × 10 ~ 9 / L, PLT 218 × 10 ~ 9 / L and Hb 96g / L were rechecked 10 days after operation. Patients with good symptoms