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例1,男,57岁。1989年1月10日住院。于10天前与全家同吃新鲜油煎柞蚕蛹6～7枚,饮酒2两。3小时后面色苍白大汗,呕吐胃内容物。之后神志模糊,躁动,小便失禁。外院疑诊“脑出血”。脑脊液检查颅压200mmH_2o柱余均正常。经降颅压、营养脑细胞药等治疗未见好转。病后10天突然寒战高热,体温38.9℃,7天后咳出脓臭痰量约250ml/d。以肺脓肿诊断转入我院。入院查体:T 36.1℃,P88次/分,R22次/分,BP14.6/9.3kPa,神志不清,不能正确回答问话、躁动。WBC 18.5×10~9/L,N 75%,L 25%,胸部X线片右肺下叶背段大片浓密阴影,其中可见有液平的透光区。临床诊断:(1)原发性吸入性肺脓肿,
Example 1, male, 57 years old. January 10, 1989 hospitalization. 10 days ago with the whole family to eat fresh fried tupa pupae 6 to 7, drinking two two. 3 hours pale pale sweat, vomit stomach contents. After the ambiguity, restlessness, urinary incontinence. Outside the hospital suspected “cerebral hemorrhage.” CSF pressure test intracranial pressure 200mmH_2o more than normal. By reducing intracranial pressure, nutritional brain cell medicine and other treatment did not improve. 10 days after the disease suddenly chills fever, body temperature 38.9 ℃, 7 days after cough purulent sputum volume of about 250ml / d. Diagnosis of lung abscess transferred to our hospital. Admission examination: T 36.1 ℃, P88 beats / min, R22 beats / min, BP14.6 / 9.3kPa, unconsciousness, can not correctly answer questions, restlessness. WBC 18.5 × 10 ~ 9 / L, N 75%, L 25%, chest X-ray films on the back of the lower lung large shadow, which can be seen a flat light-transmissive area. Clinical diagnosis: (1) primary aspiration pulmonary abscess,