论文部分内容阅读
(一)胁痛(急性梗阻性化脓性胆管炎) 李某,女,19岁。1985年8月21日初诊, 右胁痛伴高热寒战3天。病初时因受凉而发烧,右胁部阵发性疼痛,恶心呕吐,吐出蛔虫1条。在单位医务室给于阿托品、四环素口服,次日病情有增无减,体温达40℃,并出现巩膜黄染。查白细胞32500/立方毫米而住某院。经胆囊B超检查胆囊增大,胆总管腔直径达3厘米,扫描见蛔虫体1条阻塞于管内。诊断急性梗阻性化
(A) hypochondriac pain (acute obstructive suppurative cholangitis) Lee, female, 19 years old. On August 21, 1985, he was newly diagnosed with right hypochondriac pain and a fever chill for 3 days. At the beginning of the illness, I suffered from a fever and suffered from fever, paroxysmal pain in the right flank, nausea and vomiting, and 1 maggot spit. Atropine and tetracycline were given orally in the unit’s medical office, and the condition continued to increase on the following day. The body temperature reached 40°C and yellow sclera appeared. Check WBC 32500/mm 3 and live in a hospital. Gallbladder ultrasound examination of the gallbladder increased, the total diameter of the common bile duct was 3 cm. A scan of the maggot body was blocked in the tube. Diagnosis of acute obstruction