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患者,女性,31岁,86年3月因子宫肌瘤,在当地医院行子宫全切术,术后3天出现尿失禁,10天后突发下腹痛,以右下腹为甚,伴肛门坠胀。诊断为急性兰尾炎,行兰尾切除术,术中见兰尾轻度充血,腹腔内有大量腹水,腹水为淡黄色。术后切口一期愈合拆线。术后第10天,腹水迅速增加,尿失禁依然存在。以腹水原因待诊转入我院内科。经查体温38.5℃,白血球计数18,000、多核86%。查腹水为漏出液。肝、肾功良好。静脉肾盂造影,见左输尿
Patients, females, 31 years old, 86 years in March due to uterine fibroids, hysterectomy in the local hospital, urinary incontinence after 3 days, 10 days after the sudden onset of abdominal pain, right lower quadrant was even worse with anus bulge . Diagnosis of acute mansony, line Lan tail resection, blue tail mild congestion surgery, a large number of ascites intraperitoneal, ascites is light yellow. Postoperative incision healed stitches. Ten days after surgery, ascites increased rapidly and urinary incontinence remained. Ascites due to be admitted to our hospital medical reasons. The body temperature of 38.5 ℃, white blood count 18,000, multi-core 86%. Ascites as leakage liquid. Liver, kidney function is good. Intravenous pyelography, see left ureter