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患者女,56岁。因发热、咳嗽12天,急性腹痛3天入院。12天前,患者因发热、咳嗽、胸痛在乡医院诊为上感,应用氨苄青霉素、氢化可的松等治疗3天无好转。胸透示双肺炎症,又加用丁氨卡那霉素,并加大氢化可的松用量,发热一度被控制。用药第9天,患者突感中上腹刀割样疼痛,并迅速扩散至全腹,伴心慌、大汗、乏力,喝水后疼痛加剧。次日排柏油样大便2次约400ml,因治疗无效而转我院。查体:T35.4℃,P110次/min,R20次/
Female patient, 56 years old. Due to fever, cough 12 days, 3 days of acute abdominal pain admitted. 12 days ago, patients with fever, cough, chest pain in the township hospital for the flu, ampicillin, hydrocortisone treatment for 3 days without improvement. Chest said double lung inflammation, but also with amikacin, and increase the amount of hydrocortisone, fever was controlled. On the 9th day of treatment, the patient was sensitized with abdominal incision-like pain and rapidly spread to the whole abdomen with palpitation, sweating, weakness and aggravating pain after drinking water. The next day row of asphalt-like stool 2 about 400ml, due to invalid treatment and transferred to our hospital. Physical examination: T35.4 ℃, P110 times / min, R20 times /