论文部分内容阅读
1病例介绍患者女,77岁。因“反复腹痛2个月,发热10 d”于2013年7月23日入院。体温36.5℃,脉搏96次/min,呼吸18次/min,血压144/96 mm Hg(1 mm Hg=0.133 k Pa)。左上腹痛,查体全腹软,压痛及反跳痛不明显,双下肢无水肿。血常规示白细胞计数15.03×109/L,中性粒细胞百分比90.01%;血生物化学检查示肌酐272μmol/L。胸腹部CT检查示:肺部感染,心脏稍增大,心包少量积液;肝密度减低,实质内见多个类圆形稍低密度结节影,最大径约2.4 cm,形
1 case description Female patient, 77 years old. Because of “repeated abdominal pain for 2 months, fever 10 d ” was July 23, 2013 admission. Body temperature 36.5 ° C, pulse 96 beats / min, breath 18 beats / min, blood pressure 144/96 mm Hg (1 mm Hg = 0.133 kPa). Left upper quadrant pain, physical examination of full belly soft, tenderness and rebound tenderness is not obvious, no lower extremity edema. Blood showed white blood cell count 15.03 × 109 / L, the percentage of neutrophils was 90.01%; blood biochemical tests showed creatinine 272μmol / L. Chest and abdomen CT showed: pulmonary infection, the heart slightly increased, a small amount of pericardial effusion; reduced liver density, see the real number of round slightly lower density nodules, the maximum diameter of about 2.4 cm, shaped