高压氧综合治愈脑真菌感染伴多发脓肿1例

CHONGQING MEDICAL JOURNAL(2005)

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Abstract
患者,男,42岁,因反复抽搐8d,发热伴疲劳0.5d,加重2h于2002年1月2日入院.入院前间断发热近6个月,体温最高达39℃,未进行过正规治疗.既往26d每日饮高度白酒约1L,30d每天抽烟30支,曾服用抗癫痫药(具体不详),因肝功能异常而停用.入院时查体:体温38℃,意识清楚,四肢水肿,肝于右肋下8cm可触及,腹水征阳性,余无异常.辅助检查:血白细胞13.2×109/L,中性粒细胞0.87,总胆红素76.6μmol/L,直接胆红素51.1μmol/L,病毒性肝炎检测阴性.胸部X线、CT及颅脑CT检查均未见异常,腹部CT示肝肿大、腹水.
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