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患者,女,55岁.因排尿不畅20天、发热、脓尿1天,于1992年1月8日入院.25年前曾产后大出血而患席汉综合征,平素以甲状腺素和强的松维持.20天前受寒后出现垂体危象及尿潴留,在当地医院留置导尿并反复多次更换尿管.1天前因引流出200ml脓尿而行膀胱冲洗,当注入盐水500ml后无任何液体流出,即拟诊为“膀胱破裂”转入我院.体检:急性痛苦病容,四肢冰凉,面色苍白.T39℃,P110次/分,R20次/分,BP6.0/3.0kPa.腹肌紧张,下腹压痛明显,有捻发音及移动性浊音、肠鸣音存在.实验室检查:Hb
Patients, female, aged 55. Due to poor urination 20 days, fever, pyuria 1 day, admitted to hospital on January 8, 1992. 25 years ago who had severe postpartum hemorrhage syndrome, usually with thyroxine and prednisone Maintain .20 days ago after the cold appeared pituitary crisis and urinary retention, catheterization in the local hospital and repeatedly replaced the catheter .1 days ago due to the drainage of 200ml pyuria and urinary bladder flushing, when injected into the saline 500ml without any Liquid out, that is, to be diagnosed as “bladder rupture” transferred to our hospital. Physical examination: acute pain, cold limbs, pale. T39 ℃, P110 beats / min, R20 beats / min, BP6.0 / 3.0kPa. Tension, tenderness under the abdomen obvious, there is twist pronunciation and dullness, bowel sounds exist. Laboratory tests: Hb