论文部分内容阅读
讨论第一次讨论患者住我科后,第3天科内部分同志进行了第一次临床病例讨论,诊断分析如下: 一、胆道系统感染:根据患者粪便常规,集卵检查蛔虫卵甚多,血象白细胞明显升高,黄疸指数及谷丙转氨酶增高。右上腹痛,呈阵发性绞痛,并向右侧腰背部放射,考虑为胆道蛔虫病及胆道系统感染.由于蛔虫钻入胆道刺激奥迪氏括约肌,引起括约肌强烈痉挛而发生绞痛。同时蛔虫可把肠道细菌带入总胆管及整个胆道系统,引起感染。由于虫体阻塞胆道,使胆汁排泄不畅而瘀滞,临床上则出现黄疸,进而损害肝细胞,谷丙转氨酶轻度或中度升高. 二、败血症:患者长期应用强地松,容易诱
Discussion After the first discussion of patients living in our department, the first three days of intra-Sectional comrades conducted the first clinical case discussion, the diagnosis is as follows: First, the biliary tract infections: According to the patient’s stool routine, Blood leukocytes was significantly higher, jaundice index and alanine aminotransferase increased. Right upper quadrant pain, paroxysmal angina, and radiation to the right lower back, considered as biliary ascariasis and biliary tract infections due to roundworms into the bile to stimulate the sphincter of Oddi, causing strong spasm sphincter cramps occurred. At the same time roundworm intestinal bacteria can be brought into the total bile duct and the entire biliary system, causing infection. Second, the sepsis: long-term use of prednisone in patients with easy to lure