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病例介绍患者女性,63岁。因发热、右臀部大疱和皮下气肿入院。患者身体一直良好,直至1个月前发生间歇性便秘与腹泻,偶伴大便失禁。患者因虚弱及长期存在的膝关节炎疼痛加剧4天,并曾滑倒在地,其丈夫未能将患者扶起而先入另一间医院诊治。患者有双膝关节炎的长期病史,以往诊断为退行性关节病和类风湿性关节炎。数年前因完全性房室传导阻滞植入了(电子)心脏起搏器。患者曾服用过甲状腺球蛋白65mg,每天2次,秋水仙碱0.6mg,每天3次;速尿80mg/d,缓释型氧化钾10meq,每天2次,据说是治疗其“肠子”。无痛风、症状明显的
Case description Female patient, 63 years old. Due to fever, right hips and subcutaneous emphysema hospitalized. The patient’s health has been good, until 1 month ago, intermittent constipation and diarrhea, coupled with fecal incontinence. The patient was exacerbated by the weakness and longstanding pain of knee arthritis for four days and had slipped to the ground where her husband failed to lift the patient and went to another hospital for treatment. Patients have a long history of double-knee arthritis, previously diagnosed with degenerative joint disease and rheumatoid arthritis. A few years ago, an (electronic) pacemaker was implanted due to complete atrioventricular block. Patients had taken thyroglobulin 65mg twice a day, colchicine 0.6mg 3 times a day; furosemide 80mg / d, sustained-release potassium oxide 10meq 2 times a day, is said to be the treatment of its “intestines.” No gout, obvious symptoms