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患儿,男,8岁。因腹痛、呕吐伴发烧三天,在×县医院诊为“腹膜炎”,经治疗症状加重,于1976年8月12日送我院就诊。检查:体温39.5℃,脉搏120次/分,血压80/60mmHg。呈浅昏迷状态。颈软,心肺正常腹部膨隆,可见肠型,并闻及高调肠呜音。病理反射未引出。化验:白细胞23,000/mm~3,中性91％,淋巴9％。腹部透视,有大量阶梯状液平面。诊断:急性化脓性腹膜炎伴机械性肠便阻。当日剖腹探查,冲洗腹腔、松解粘连、肠管减压。术后静滴庆大霉素,每日16万单位,肌注青、链霉素。42小时后,抽风停止,开始大便,体温仍在38.5～40℃。大量出汗。第三天出现呼吸困难,双肺散在中小水
Children, male, 8 years old. Due to abdominal pain, vomiting with fever for three days, in the county hospital diagnosed as “peritonitis”, the symptoms worsened, on August 12, 1976 sent to our hospital. Check: body temperature 39.5 ℃, pulse 120 beats / min, blood pressure 80 / 60mmHg. Was shallow coma state. Neck soft, normal lung and heart bulging bulging, visible intestinal type, and smell high-key intestinal woo sound. Pathological reflex did not lead. Laboratory tests: WBC 23,000 / mm ~ 3, neutral 91%, lymph 9%. Abdomen perspective, a large number of ladder-like liquid level. Diagnosis: Acute purulent peritonitis with mechanical bowel obstruction. The day laparotomy exploration, washing the abdominal cavity, release adhesions, bowel decompression. Postoperative intravenous gentamicin, 160,000 units a day, intramuscular injection of green, streptomycin. After 42 hours, the ventilation stopped and stool started. The body temperature was still at 38.5-40 ° C. Sweat a lot. The third day of breathing difficulties, lungs scattered in small water