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患者,男,40岁,因“上呼吸道感染”在当地诊所输液治疗3天后,因上腹疼痛不适,来我院检查,在我科行上腹部彩超检查,超声显示:胆囊大小约78mm×32mm,胆囊壁毛糙、增厚、厚约4mm,胆囊腔内探及泥沙样强回声,伴身影,随体位移动,肝内外胆管无扩张,见图1,据患者自述上个月因担保人寿保险而体检,当时超声检查结果正常。询问患者在诊所的用药情况后,得知使用了菌必治(头孢曲松),结合声像图改变:考虑药物性胆囊结石,胆囊炎。建议复查,在我院门诊使用非头孢类抗生素治疗3天后复查,发现胆囊腔内泥沙样
Patients, male, 40 years old, because of “upper respiratory tract infection ” in the local clinic after infusion treatment for 3 days, due to abdominal pain and discomfort, to our hospital examination, in our department abdominal abdominal ultrasound examination, ultrasound showed: gallbladder size of about 78mm × 32mm, gallbladder wall rough, thick, thick about 4mm, gallbladder cavity exploration and sediment-like echo, with shadow, with the displacement of the body, intrahepatic bile duct without expansion, shown in Figure 1, according to the patient readme last month due to guarantee Life insurance and physical examination, when the ultrasound test results were normal. Asked patients in the clinic medication, that the use of bacteria must rule (ceftriaxone), combined with sonographic changes: consider the drug-induced gallstones, cholecystitis. Recommended review, in our hospital out-patient use of non-cephalosporin antibiotics after 3 days of review and found that the gallbladder cavity sediment-like