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患者,女,24岁,以“下腹疼痛一周伴发热两天”为主诉就诊。PE:T39.2℃,P106次/分,R20次/分,BP12/8KPa,病人消瘦,呈急性发热病容,心肺(-),腹部隆起,浅表静脉轻度怒张,全腹均有压痛,反跳痛,腹水征(+),肠鸣音正常。血常规:Hb9.0,RBC300万/mm~3,WBC10200/mm~3、肝功能正常;B超:下腹有一囊性占位,6.7×7.2×6cm~3。腹穿为淡黄色液体。否认有结核病史。初诊:卵巢囊肿。拟行“剖腹探查术”。术中所见:腹膜增厚有结节与大网膜粘连,肠管轻度充血,肠间相互粘连,无粘连带,双输卵管充血、增粗,卵巢大小正常,探查腹腔无肿块关腹。取腹膜结节病检:结核性腹膜炎。术后经抗痨治疗,体温降至正常,
The patient, female, 24 years old, presented with “abdominal pain with fever for two days a week”. PE: T39.2 ℃, P106 times / min, R20 beats / min, BP12 / 8KPa, the patient was emaciated, with acute febrile disease, cardiopulmonary (-), abdominal bulge, superficial superficial vein mild engorgement , Rebound tenderness, signs of ascites (+), normal bowel sounds. Blood: Hb9.0, RBC300 million / mm ~ 3, WBC10200 / mm ~ 3, normal liver function; B ultrasound: a cystic lower stomach occupancy, 6.7 × 7.2 × 6cm ~ Abdominal wear as a light yellow liquid. Denied a history of tuberculosis. New diagnosis: Ovarian cyst. Proposed “laparotomy exploration.” Intraoperative findings: peritoneal thickening with nodules and omentum adhesions, bowel mild congestion, intestine adhesions, non-adhesive band, double tubal congestion, thickening, normal ovary size, probing the abdomen without lumps. Peritoneal sarcoidosis check: tuberculous peritonitis. After anti-tuberculosis treatment, body temperature dropped to normal,