论文部分内容阅读
患男,11岁,于20天前,从高处摔下,右膝关节肿胀、疼痛、伴高热,经当地对症治疗。于1988年9月9日右膝关节切开引流,排出脓汁约500ml。经治疗,患者仍持续高热。于当月18日转我院。查体:T38.5℃,P138次/分,BP110/40mmHg,R30次/分,神志清楚烦躁不安,面色苍自,唇干。骨科所见:右膝关节上下肿胀,压痛明显,右膝关节外则上下各见一切口已缝合。经庆大霉素,卡那霉素,输血300ml,病情恶化,于翌日以脓毒血症死亡。实验室检查:Hb6g%,WBC 2300,
Male, 11 years old, fell 20 days ago from a height, swollen right knee, pain, with high fever, the local symptomatic treatment. On September 9, 1988 right knee incision and drainage, discharge pus about 500ml. After treatment, the patient continues to be feverish. On the 18th of the month transferred to our hospital. Physical examination: T38.5 ℃, P138 times / min, BP110 / 40mmHg, R30 times / min, consciously restless, pale, lip dry. Orthopedic see: up and down the right knee swelling, tenderness significantly, right and left knee outside the upper and lower see all the incision has been sutured. The gentamicin, kanamycin, blood transfusions 300ml, the disease deteriorated, died of sepsis on the following day. Laboratory tests: Hb 6g%, WBC 2300,