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1 病例报告患者男,67岁。因发热、腹痛、恶心、呕吐6天,阑尾切除术后40h于1996—10—30入院。6天前不明原因出现发冷、发热,体温高达39.7℃,伴腹痛、腰痛、恶心、呕吐。自服感冒药物治疗无效。4天后到某医院就诊,诊断为急性阑尾炎,于当天行阑尾切除术。因术中出血较多而留置腹腔引流管。术后第2天体温恢复正常,但仍有明显腹痛、恶心、呕吐,腹腔引流出血性液体近1000ml。尿量显著减少,日尿量约350ml,尿中有膜状物。转入我院后查体:体温36.0℃,脉搏96/min,血压
1 case report Patient male, 67 years old. Due to fever, abdominal pain, nausea, vomiting for 6 days, appendectomy 40h after admission in 1996-10-30. 6 days ago, unexplained fever, fever, body temperature up to 39.7 ℃, with abdominal pain, back pain, nausea and vomiting. Self serving cold medicine treatment is invalid. After 4 days to a hospital for treatment, diagnosis of acute appendicitis, line appendectomy on the day. Because of intraoperative bleeding more indwelling abdominal drainage tube. Body temperature returned to normal after 2 days, but there are still significant abdominal pain, nausea, vomiting, abdominal drainage of nearly 1000ml of bleeding liquid. Significantly reduced urine output, urine volume of about 350ml, urine film. Into our hospital after examination: body temperature 36.0 ℃, pulse 96 / min, blood pressure