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李某,男性,50岁。主因突发性左上腹部持续性疼痛25天入院。无发热及呕吐,无明显全身局灶性表现。查体:脾脏肋下7cm,有压痛,肝未触及。血常规:Hb216g/L,R-BC7.44×10~(12)/L,PC41.2×10~9/L,腹部B超示脾实质内见数个大小不等低回声区,边界不规则,诊断为脾囊肿并感染,给予静脉滴注青霉素与庆大霉素等治疗后腹痛缓解而出院。于出院后5天再次出现持续性左上腹痛,颜面大汗,查体同前。血
Lee, male, 50 years old. The main cause of sudden upper left abdomen persistent pain was admitted to hospital for 25 days. No fever and vomiting, no obvious systemic focal performance. Physical examination: Spleen ribs 7cm, tenderness, the liver is not touched. Blood: Hb216g / L, R-BC7.44 × 10-12 / L, PC41.2 × 10 ~ 9/L, Abdominal B ultrasound showed spleen parenchyma within the range of low echo area, the border is not Rule, diagnosed as spleen cyst and infection, given intravenous infusion of penicillin and gentamicin and other treatment of abdominal pain relief and discharge. 5 days after discharge, persistent left upper quadrant pain, facial sweating, physical examination with the former. blood