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女患,31岁,因突发右上腹疼痛,伴畏寒,发热3天于1989年9月18日入院。慢性胆囊炎病史8年。发病前无外伤史。入院检查:T40℃,P120次/分,R22次/分,Bp14.7/9.36kPa。巩膜皮肤无黄染,心肺未见异常,上腹部紧张,右上腹明显压痛,墨菲氏症(+),肝肋弓下1.5cm,质尚软脾肋下未及。肝胆脾B超检查,右肝斜径139mm,回声密,胆囊大小正常壁厚毛糙,内见两枚黄豆大小强回声伴声影,诊断胆囊炎胆石症,脾厚45mm,回声均匀,未见液性暗区。化验:Hb100g/L,WBC25.4×10~9/L,N0.94.入院后即给利胆药口服,静滴氯霉素及丁胺卡那霉素及地塞米松,次日
Female, 31 years old, due to sudden right upper quadrant pain, with chills, fever 3 days in September 18, 1989 admission. Chronic cholecystitis history of 8 years. No history of trauma before onset. Admission examination: T40 ℃, P120 beats / min, R22 beats / min, Bp14.7 / 9.36kPa. Sclera skin without yellow dye, no abnormal heart and lung, upper abdominal tension, tenderness in the right upper quadrant, Murphy’s disease (+), 1.5cm under the liver ribs, quality is still soft spleen ribs. Liver and gallbladder B-ultrasound, the right hepatic oblique diameter 139mm, echo dense, the normal thickness of the gallbladder wall rough, see the size of two strong echo with the sound of soybeans, diagnosis of cholecystitis cholelithiasis, splenomegaly 45mm, echo uniform, no fluid Dark area. Assay: Hb100g / L, WBC25.4 × 10 ~ 9 / L, N0.94. After admission to the gallbladder oral, intravenous chloramphencolol and amikacin and dexamethasone, the next day