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宫腔积脓发病率低,如查体不仔细,易被漏诊或误诊,现有1例被误诊报告如下。1.病例报告 患者女,65岁,因下腹烧灼样胀痛2O余天,畏寒发热3天,门诊以“急性腹膜炎”收入外科治疗。查体:T39℃,全腹压痛,反跳痛,腹肌紧张,WBC27.9*109/L,N0.86,心肺正常。外科急诊剖腹探查,术中所见:腹腔积脓450ml,肠管充血,表面大量脓苔,子宫稍大,充血,宫府有1cm×1.2cm破口,右输卵管积脓,给予子
Uterine empyema incidence is low, such as physical examination is not careful, easily missed or misdiagnosed, the existing one case was misdiagnosed as follows. 1. Case report Female patient, 65 years old, because of abdominal pain, burning pain like 2O days, chills and fever for 3 days, outpatient “acute peritonitis” income Surgical treatment. Physical examination: T39 ℃, total abdominal tenderness, rebound tenderness, abdominal muscle tension, WBC27.9 * 109 / L, N0.86, normal heart and lung. Surgery emergency laparotomy, intraoperative findings: abscess abscess 450ml, congestion of the intestine, the surface of a large number of pus moss, uterine slightly larger, hyperemia, Gongfu 1cm × 1.2cm break, empyema of the right fallopian tube, to give sub