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例1于××,男,28岁。发烧、寒战,右上腹疼痛10日,于1982年10月8日入院。检查:营养欠佳,热病容,轻度贫血貌。体温38.2℃,脉搏100次/分,血压110/70mmHg。心脏正常,右下肺呼吸音减弱。右上腹膨隆,有肌紧张及压痛,右季肋部有叩击痛。血红蛋白11g％,红细胞380万/mm~3,白细胞21,000/mm~3,中性分叶核88％,杆状核2％,淋巴10％。X线透视显示右侧膈肌升高,活动受限,肝脏阴影增大。超声波检查:肝右叶可见3.0cm液平反射。肝脏穿刺,抽出黄色浓汁。诊断:细菌性肝脓肿。次日行肝脓肿切开引流术,排出脓汁约300ml。手术经过顺利,病人一般状况良好。术后
Example 1 in × ×, male, 28 years old. Fever, chills, right upper quadrant pain 10, admitted to hospital on October 8, 1982. Check: poor nutrition, fever, mild anemia appearance. Body temperature 38.2 ℃, pulse 100 beats / min, blood pressure 110 / 70mmHg. Normal heart, lower right lung breath sounds weakened. Right upper quadrant bulge, muscle tension and tenderness, the right quarter of the percussion pain in the ribs. Hemoglobin 11g%, erythrocytes 3.8 million / mm ~ 3, leukocytes 21,000 / mm ~ 3, 88% of neutral leaf core, 2% of rod nucleus, lymphoid 10%. X-ray showed the right diaphragm increased activity limited, increased liver shadow. Ultrasonic examination: 3.0cm horizontal reflection of the right lobe can be seen. Liver puncture, remove the yellow sauce. Diagnosis: bacterial liver abscess. The next day liver abscess incision and drainage, discharge pus about 300ml. The operation went well and the patient was generally in good condition. After surgery