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患者男性,31岁.以虚弱、发烧、呕吐和持续上腹痛几天为主诉就诊于急诊科.3周前,该患者曾以持续腹泻、发烧和体重下降7kg为主诉来医院就诊。当时体查结核菌素试验阳性;内镜显示十二指肠、回肠末端,和回音瓣小溃疡.即于2周前开始用抗结核药利福平(600mg/日)、异烟肼(300mg/日)和吡嗪酰胺(1500mg/日)治疗,腹泻及发烧缓解.内镜追踪显示小溃疡完全愈合.急诊科体检:体温39℃,腹部胀满,中上腹有深压痛,反跳痛、肌卫,肠鸣音消失.实
Male, 31, attended the emergency department chiefly for a few days with weakness, fever, vomiting and persistent upper abdominal pain and was referred to the hospital three weeks ago, mainly on persistent diarrhea, fever and weight loss of 7 kg. Tuberculin test was positive at the time of examination; endoscopy showed the duodenum, ileum, and echo valve small ulcer .In 2 weeks ago began with the anti-TB drugs rifampicin (600mg / day), isoniazid / Day) and pyrazinamide (1500mg / day) treatment, diarrhea and fever relief. Endoscopy showed complete healing of small ulcers. Emergency department examination: body temperature 39 ℃, abdominal fullness, middle and high pressure tenderness, rebound tenderness Myasthenic, bowel sounds disappear