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患者女,40岁,住院号18291。13年前第二胎产后4天行双侧输卵管结扎术,术后出现伤口感染,经换药及抗炎治疗,一月后痊愈出院。出院后2月伤口出现红肿、痛,继之流脓,再次入院治疗。其间反复感染,住院9次,行腹壁窦道切除5次,仍不愈合,且有脓液流出。于1986年12月9日入院。体检:下腹有一黄豆大窦道外口,周围红、硬,有压痛,并有脓性分泌物。妇检:子宫与附件均与腹壁粘连,子宫不活动。在硬膜外麻醉下,经腹壁窦道口注射美蓝,剖腹探查,见窦道有三个分支,上腹壁有一盲端,下腹
Female patient, 40 years old, hospital number 18291. 13 years after birth, the second child received bilateral tubal ligation 4 days after wound infection, after dressing and anti-inflammatory treatment, discharged after January. February discharge wounds after swelling, pain, followed by pus, hospitalized again. During repeated infections, hospitalized 9 times, line resection of the abdominal wall sinus 5 times, still not healed, and pus outflow. Admitted to hospital on December 9, 1986. Physical examination: the lower abdomen has a large mouth of soy bean outside the mouth, around the red, hard, tender, and purulent secretions. Gynecological examination: the uterus and attachment are abdominal adhesions, uterine inactivity. Under epidural anesthesia, transabdominal sinus ostium injection of methylene blue, laparotomy, see the sinus has three branches, the upper abdominal wall has a blind side, the lower abdomen