论文部分内容阅读
患者女,24岁,因房间隔缺损修补术后两年,间断发热伴咳嗽一年入院。体检:慢性病容,T 37.2℃P 112次,BP100/60mmHg,右下肺叩诊实,语颤强,呼吸音低。心脏略大,心率112,律齐,P_2亢进,呈固定分裂,胸骨左缘第Ⅳ肋间可闻及Ⅱ/Ⅵ收缩期吹风样杂音。肝肋下4cm,脾未触及,腹水征阴性。X线胸透:心脏呈梨形,中度大,双肺纹理增重。心电图:窦性心律,不完全右束支传导阻滞。化验:入院后7次血培养均为阴性,治疗两个月后8～10次血培养为绿脓杆菌。
Female, 24 years old, was repaired two years after surgery because of atrial septal defect, with intermittent fever and cough for one year. Physical examination: chronic disease, T 37.2 ℃ P 112 times, BP100 / 60mmHg, right lower lung percussion real, language tremor strong, low breath sounds. Heart slightly larger, heart rate 112, law Qi, P 2 hyperthyroidism, was a fixed division, sternum left intercostal space IV can be heard and Ⅱ / Ⅵ systolic hair-like murmur. Liver ribs 4cm, spleen not touched, ascites sign negative. X-ray chest: the heart was pear-shaped, moderate, lung weight gain. ECG: sinus rhythm, incomplete right bundle branch block. Laboratory tests: blood cultures were negative 7 times after admission, blood culture was Pseudomonas aeruginosa 8 to 10 times after two months of treatment.