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1 例1 42岁,因不规则阴道流血三年,于1990年10月16日收入院。查体:T36.5℃.心肺(-)。妇科检查:子宫如孕三个月大小,质硬。实验室检查:Hb87g/L,WBC9.9×10~9/L,分类正常,BPC120×10~9/L,尿常规检查(-)。B超:于子宫前壁探及-6.2cm×5.6cm大小的强回声光团。诊断为子宫肌瘤。 1.1 住院经过:入院后于10月22日行子宫切除术,术中输血时,病人突然发热(T38.8℃),疑输血反应,即给以氟美松10mg静脉注射,体温不下降,第二天仍持续39℃。临床考虑手术感染或血源污染致败血症,给以抗生素治疗7天仍无效。观察手术切口愈合良好,腹部无异常
One patient, 42 years old, had irregular vaginal bleeding for three years and was admitted to the hospital on October 16, 1990. Physical examination: T36.5 ℃. Cardiopulmonary (-). Gynecological examination: If the uterus three months pregnant size, hard. Laboratory tests: Hb87g / L, WBC9.9 × 10 ~ 9 / L, normal classification, BPC120 × 10 ~ 9 / L, urine routine examination (-). B super: in the anterior uterine exploration and -6.2cm × 5.6cm size of the strong echo light group. Diagnosis of uterine fibroids. 1.1 hospitalized: admission after hysterectomy on October 22, intraoperative blood transfusion, the patient suddenly fever (T38.8 ℃), suspected transfusion reactions, that is, given mefloxacin 10mg intravenously, body temperature does not decline, the first Two days still continued 39 ℃. Clinical consideration of surgical infection or blood pollution caused by sepsis, give antibiotic treatment for 7 days is still invalid. Observation of surgical incision healed well, no abnormalities in the abdomen