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中毒性休克综合征(Toxic Shock Syndrome,TSS),自1978年以来,国外陆续有所报道,约90%发生于月经期使用阴道棉塞的健康青年妇女。晚近有报告术后切口感染和软组织感染也罹患本病。本文报告2例如下。病例1 男,24岁;住院号:65,448。因阻塞性黄疸在院外行剖腹探查术。术后仍黄疸、右上腹痛,第32天转入我院。体检:神志清晰,巩膜黄染,外耳道与鼻腔分泌物较多,肝肋缘下2cm。入院第二天,出现直立性眩晕,乏力,烦躁,畏寒,肌肉痠痛,恶心及腹胀。左鼓膜穿孔溢脓。T40.1℃,P120次,BP 90/50。第5天,全身皮肤出现边缘不整、大小不等的红色斑疹,以躯干为甚,不痛不痒。咽部充血。实验室检查:血像:RBC363万,Hb10.8g,WBC11400,E1%,N84%,L12%,Seg3%。尿常
Toxic Shock Syndrome (TSS) has been reported in foreign countries since 1978, and about 90% of healthy young women who have used vaginal tampon during menstruation. Recently reported incision infection and soft tissue infections also suffer from this disease. This article reports 2 cases as follows. Case 1 male, 24 years old; Hospitalization number: 65,448. Due to obstructive jaundice in the hospital laparotomy. Still jaundice, right upper quadrant pain, 32 days into our hospital. Physical examination: conscious, scleral yellow dye, external auditory canal and nasal secretions more, under the liver margin 2cm. On admission the next day, there was erection dizziness, weakness, irritability, chills, muscle aches, nausea and bloating. Left tympanic membrane overflow pus. T40.1 ° C, P120 times, BP 90/50. Day 5, the whole body appears uneven edge of the skin, ranging in size from the red rash to the trunk is even more, itching. Pharyngeal congestion. Laboratory tests: Blood: RBC363 million, Hb10.8g, WBC11400, E1%, N84%, L12%, Seg3%. Urine often