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患者.26岁,住号3459.此次系二胎二产,足月妊娠滞产在当地医院行子宫下段剖腹产术.术中出血多,转院输血1000ml.术后四天因发热、腹胀、腹痛加剧,于1982年5月2日来我院.拟诊剖腹产术后败血症,不完全性肠梗阻收入.体检:体温38℃.脉搏124次,呼吸32次,血压100/60.心率齐,心肺(一).腹部膨隆,叩诊鼓音,肠鸣音弱.宫底脐下二指,压痛明显.左下肢红肿,发热.骶尾关节处有散在褥疮,阴道分泌物腥臭.实验室检查.白细胞36,800,中性88%,有中毒颗粒.尿蛋白(++).宫腔分泌物培养.大肠杆菌.腹透:脐周处空回肠明显充气,右侧可见一波平.入院后给予
Patient 26 years old, living number 3459. The second child of the second birth, full-term pregnancy in the local hospital line hysterectomy caesarean section .Hemorrhage and transfusion of blood transfusion 1000ml .After four days due to fever, abdominal distension, abdominal pain Exacerbated, came to our hospital on May 2, 1982. To be diagnosed with caesarean section after sepsis, incomplete intestinal obstruction income. Physical examination: body temperature 38 ° C. Pulse 124 times, breathing 32 times, blood pressure 100/60 Qi, heart and lung (A), abdominal bulging, percussion drum sounds, bowel sounds weak. Palace under the umbilical two fingers, tenderness significantly left lower extremity swelling, fever sacrococcygeal junction scattered sores, vaginal discharge stench. Laboratory tests. Leukocytes 36,800, neutral 88%, poisoning particles Urine protein (++). Uterine secretion culture Escherichia coli. Peritoneal: empty ileum significantly inflatable around the umbilical cord, the right side of a wave of visible. After admission to give