紫外线照射充氧自体血回输综合治疗恙虫病患者并多脏器功能衰竭1例
MEDICAL JOURNAL OF NANJING MILITARY REGION(2002)
Abstract
1病案摘要
患者男,54岁,以畏寒、发热10天,胸闷3天,咳嗽、气促1天,在当地按"上感、支气管炎"用"先锋霉素、丁胺卡那"等药物治疗无效转入我院.病前1周有野外草丛坐卧史.查体:体温39.6℃,脉搏116次/分,呼吸26次/分,血压14/8kPa;急性热病变;左腹股沟可见一个0.5cm×0.6cm焦痂;双腹股沟各触及一个黄豆大小淋巴结,轻触痛;双肺呼吸音减低,可闻及中小水泡音及哮喘音;心浊音界向左下扩大,心率116次,律不齐,闻及早搏,心音低钝,各瓣膜区未闻及病理性杂音;腹平软,右中上腹部压痛,肝右肋下扪及4cm、质中等、表面光滑、轻压痛,肝颈回流征阳性,肝肾区叩击痛;双下肢轻度浮肿.
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