论文部分内容阅读
患女,20岁。1989年6月24日因发热、气急、咳嗽伴腹痛、腹泻4个月以弥漫性化脓性腹膜炎、胸膜炎、肺炎和心包积液收住外科.治疗10d 无效,以结缔组织病转内科治疗,转科体检:T38.8℃、气促、两肺细湿罗音及散在干性罗音;心率110次/min、律齐、第一心音稍钝,心尖区SM Ⅱ°。全腹压痛、肌卫征阳性,反跳痛可疑;肝肋下3cm、质中、压痛,脾肋下未及,实验室检查:Hb96g/L、WBC27×10~9/L、N0.85、
Suffering from women, 20 years old. June 24, 1989 due to fever, shortness of breath, cough with abdominal pain, diarrhea, 4 months to diffuse suppurative peritonitis, pleurisy, pneumonia and pericardial effusion to receive surgery. Treatment of 10d invalid to the medical treatment of connective tissue disease, transfer Section physical examination: T38.8 ℃, shortness of breath, both lungs fine wet rales and scattered dry rales; heart rate 110 beats / min, law Qi, the first heart sound a little blunt, apex SM Ⅱ °. Abdominal tenderness, muscle Wei Zheng Zheng positive, rebound pain suspicious; liver ribs 3cm, quality, tenderness, spleen and ribs did not reach, laboratory tests: Hb96g / L, WBC27 × 10 ~ 9 / L, N0.85,