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患者25岁,住院号:8564,因停经8周,频繁呕吐伴左侧颈部肿痛1天入院。无畏寒发热,无咳嗽及呼吸困难。否认有外伤及呼吸系统疾病史。查体:T36.0℃,P64次/分,R24次/分Bp15/9kPa。一般状况尚可,左侧颈部肿胀,有握雪感。胸透:左侧胸廓皮下有散在透光区,心膈未见异常。尿妊娠试验阳性。诊断为妊娠剧吐并发皮下气肿。给予止吐、补液,镇静等对症治疗,次日,皮下气肿扩散至左侧面部及左删胸背部。随着呕吐的缓解,皮下气肿范围缩小。10天后呕吐停止,能进食,皮下气肿消失,痊愈出院。
Patient 25 years old, hospital number: 8564, due to menopause for 8 weeks, frequent vomiting with left neck pain 1 day admission. Fearless cold fever, no cough and breathing difficulties. Denied a history of trauma and respiratory disease. Physical examination: T36.0 ℃, P64 times / min, R24 times / min Bp15 / 9kPa. The general condition is acceptable, the left neck swelling, there is a sense of snow. Chest throat: the left thoracic subcutaneous scattered light area, no abnormal heart diaphragm. Urine pregnancy test is positive. Diagnosis of hyperemesis gravidarum with subcutaneous empyema. Given antiemetic, fluid replacement, sedation and other symptomatic treatment, the next day, subcutaneous emphysema spread to the left side of the face and left back cut chest. With the relief of vomiting, subcutaneous emphysema narrowed. Vomiting stopped after 10 days, can eat, subcutaneous emphysema disappeared, discharged.