患女,18岁,于1992年2月15日因左膝持续性疼痛夜间加重伴左下肢红、肿、痛及发烧,关节活动受限12d 入院。入院后肌注青霉素80万u,3次/d,5%葡萄糖盐水1000ml 加青霉素640万u 静滴。8d 后,左小腿红、肿、痛有所消退,但高热不退,遂改用氨苄青霉素12g 分别加入5%葡萄糖、5%葡萄糖盐水、10%葡萄糖各500ml 中静 Affected women, 18 years old, on February 15, 1992 due to persistent pain in left knee at night with aggravating redness, swelling, pain and fever in the left lower limbs, restricted joint activity 12d admission. After instillation penicillin 800000 u, 3 times / d, 5% glucose saline 1000ml penicillin 6.4 million u intravenous infusion. After 8 days, the left calf was red, swollen and pain subsided, but the calorie was retreated. Instead, ampicillin 12 g was added to 5 ml of dextrose, 5% dextrose and 5% dextrose