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患者女,27岁,因右乳房肿痛一周,于1980年2月6日入院。一周前自觉右乳房肿痛,并伴发冷发烧,周身不适,曾接受青霉素治疗一周,自觉无明显好转。检查:体温38℃,脉搏90次/分,血压110/80毫米汞柱,右乳房肿胀,以乳晕下最明显,局部红肿热,压痛显著,无波动。心、肺、腹部检查未见异常。化验:白细胞14800,中性84%,淋巴16%。入院后第3天发现局部波动明显,故行乳腺脓肿切开,引流脓汁约300毫升,术后体温下降,周身情况好转。
The patient, 27 years old, was admitted to hospital on February 6, 1980 due to a swollen right breast. A week ago conscious right breast swelling and pain, accompanied by cold fever, whole body discomfort, had received penicillin treatment for a week, consciously no significant improvement. Check: body temperature 38 ℃, pulse 90 beats / min, blood pressure 110/80 mm Hg, right breast swelling, the most obvious in the areola, local red and hot, tenderness significantly, no fluctuations. Heart, lung, abdominal examination showed no abnormalities. Assay: 14800 leukocytes, 84% neutral, 16% lymphatic. The first 3 days after admission found that local fluctuations significantly, so the line of breast abscess incision, draining about 300 ml of pus, postoperative body temperature decreased, the overall condition improved.