病历摘要患者,女性,23岁,住院号79539,因持续高热23天于1982年2月10日入院。患者主诉于23天前突感畏寒、高热(体温达40℃以上),三天后发生“先兆流产”(妊娠3个月),五天后因“不全流产”行刮宫手术。术后流血不多,但觉纳差、乏力、腹胀。术后三天出现间断腹痛,大便一日4～5次,黄色稀水样,持续3天后转为右下腹痛。超声检查发现右下腹有一囊性包块(3×5×5厘米),行局部穿刺,抽出“黄色液体”少许,Rivalta 试验(+),细胞数1205/立方毫米,多形核细胞60%,单核细胞40%。胸透无异常,血象白细胞数9600～11700/立方毫米,中性粒细胞72～89%,淋巴细胞11～28%。经用青霉素、氯霉素、氨苄 Patient, female, 23 years old, hospitalization number 79539, admitted to hospital on February 10, 1982 due to sustained high fever for 23 days. The patient complained of chills, fever (body temperature of 40 ℃ or more) 23 days ago, “threatened abortion” (three months of pregnancy) three days later, and curettage due to “incomplete abortion” five days later. Postoperative bleeding is small, but poor sleep, fatigue, bloating. Three days after the onset of intermittent abdominal pain, stool 4 to 5 times a day, yellow watery, for 3 days after the right lower abdominal pain. Ultrasonography revealed a cystic mass (3 x 5 x 5 cm) in the right lower quadrant, local puncture, a little yellowish liquid, Rivalta test (+), 1205 cells per cubic millimeter, 60% polymorphonuclear cells, Monocytes 40%. Chest throat without abnormalities, white blood cell count 9600 ~ 11700 / cubic mm, neutrophils 72 ~ 89%, lymphocytes 11 ~ 28%. With penicillin, chloramphenicol, ampicillin