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1 病例介绍 患者 男,21岁。因发热、骶部疼痛2个月,骶部肿物1个月于1990年12月6日入院。入院前2个月无诱因出现骶骨后区酸痛,伴低热,体温37.5℃,给予消炎镇痛后病情无缓解。1个月前到我院就诊发现骶部肿物,穿刺出30ml脓性液体,培养出金黄色葡萄球菌,以左骶部化脓性炎症接收入院。入院后查体:左骶髂关节内下方皮肤隆起,局部无红、热,皮下可触及一4cm×5cm大小囊性肿物,轻压痛,有波动感。共行4次脓腔穿刺,每次均可吸出稀薄脓汁,并含有血性成分,脓汁量逐步减少,自20ml至末次3ml。每次
1 case description Patient male, 21 years old. Due to fever, sacral pain 2 months, sacral mass 1 month in December 6, 1990 admitted. 2 months before admission, no incentive causes sacral posterior region soreness, with fever, body temperature 37.5 ℃, giving anti-inflammatory analgesia after the disease did not ease. 1 month ago to our hospital found sacral mass, puncture 30ml purulent liquid, Staphylococcus aureus, to purulent left sacral hospital admission. After admission, physical examination: the lower left sacroiliac joint skin uplift, local red, hot, subcutaneous can reach a 4cm × 5cm size cystic mass, mild tenderness, a sense of volatility. A total of 4 abscess puncture, each can be sucked out thin pus, and contains bloody components, gradually reduce the amount of pus, from 20ml to the last 3ml. Each