论文部分内容阅读
病历摘要:患者女,35岁。因上腹部胀痛、恶心、食欲减退20天于1998年6月23日入住消化科病房。入院后出现低热(37.5℃)、反复的恶心呕吐。7月16日,患者出现腹胀、阵发性腹痛、脐周及中上腹部压痛、肠鸣音稍亢进.腹部X光透视示不全性肠梗阻,经中西药治疗后上述症状缓解。7月22日患者出现左眼左上视野内视力减退,给予地塞米松5mg每日1次治疗后视力有所好转,但仍需小剂量地塞米松维持治疗。电子结肠镜、小肠气钡双重造影、眼球及头颅CT检查阴性。8月24日开始,患者多次出现项背部麻木
Medical record summary: patient female, 35 years old. Due to abdominal pain, nausea, loss of appetite for 20 days in June 23, 1998 admitted to the Department of Gastroenterology. After admission, fever (37.5 ℃), repeated nausea and vomiting. July 16, patients with abdominal distension, paroxysmal abdominal pain, umbilical and mid-upper abdominal tenderness, bowel sounds a little hyperthyroidism. Abdominal X-ray showed incomplete intestinal obstruction, after the treatment of Chinese and Western medicine to alleviate the symptoms. July 22 patients with left eye left vision decreased visual acuity, given dexamethasone 5mg daily treatment has improved visual acuity, but still need a small dose of dexamethasone maintenance treatment. Electronic colonoscopy, small bowel barium double contrast, eye and head CT negative. Beginning August 24, patients repeatedly appear on the back numbness