高龄急性化脓性阑尾炎并重度感染性休克抢救一例
Shanxi Medical Journal(2009)
Abstract
患者男,76岁.因3 d前出现右下腹部隐痛,在社区门诊给予消炎输液治疗,效果不佳,体温39.0 ℃左右,对症处理仍高热不退,来我院求治.急诊以急性化脓性阑尾炎入院要求手术治疗.入院查体: 体温39.8 ℃,意识淡漠,四肢皮肤湿冷,全腹肌紧张,弥漫性压痛,以右下腹部更甚.实验室检查:白细胞(WBC)20.6×109/L,中性粒细胞0.95;心电图检查提示:窦性心动过速,左室高电压,ST改变.术前2 d未进食,未做处理入手术间.
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