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患者女性,57岁,因畏寒、发熱二十余天,伴有右季肋区不适,噁心、呕吐入院。体格检查:体溫39.9℃,心肺正常,右第三肋间以下叩诊实音有叩击痛,呼吸音消失,右上腹部膨隆,腹肌紧张,肝大肋弓下4厘米,压痛明显。白细胞21,000,中性80%。胸腹透视右横膈明显上移,运动受限。臆断为“肝脓肿”。治疗经过:给青、链霉素肌肉注射,金霉素200毫克靜脉注射。于第4天注射金霉素时,心慌气促,即停止注
Female patient, 57 years old, due to chills, fever more than twenty days, accompanied by right quarter rib discomfort, nausea, vomiting admitted to hospital. Physical examination: body temperature 39.9 ℃, cardiopulmonary normal, the right intercostal percussion following percussion percussion pain percussion, breath sounds disappear, right upper abdomen bulging, abdominal muscle tension, liver big ribs under the bow 4 cm, tenderness significantly. WBC 21,000, Neutral 80%. Thoracodorsal clear right diaphragm significantly up, limited movement. Assumptions for the “liver abscess.” After treatment: to green, streptomycin intramuscular injection of chlortetracycline 200 mg intravenously. In the first 4 days of injection of chlortetracycline, palpitation, shortness of breath, stop the note