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彭××,女,17岁,1984年9月15日入院。患者1984年8月28日作阑尾切除并腹腔引流术后高热39℃,至9月2日昏迷,血压急剧下降,经输血等抢救有好转,四天后伤口有大量黄色臭脓。9月7日患者全身出现红玫瑰疹,继之大小便失禁,手足抽搐,伴频繁咳嗽。摄片示肺部感染。当地医院曾用庆大霉素等抗菌素不效而急症转上海瑞金医院。体检:血压108/74,脉搏182次/分,呼吸22次/分,体注39.4℃,昏迷,呼吸急促,鼻翼扇动,两肺下部叩浊,呼吸音粗糙,有弥漫性湿罗音,心尖收缩期Ⅱ级杂音。腹膨
Peng × ×, female, 17 years old, September 15, 1984 admission. Patients on August 28, 1984 appendectomy and peritoneal drainage after high fever 39 ℃, to September 2 coma, blood pressure dropped sharply, the blood transfusion and other rescue has improved, four days after the wound has a lot of yellow festering. September 7 patients with red rose rubella body, followed by incontinence, hand, foot and convulsion, with frequent cough. Photographs show pulmonary infection. Local hospitals have used gentamicin and other antibiotics invalid emergency transfer to Hai Ruijin Hospital. Physical examination: blood pressure 108/74, pulse 182 beats / min, breathing 22 beats / min, body temperature 39.4 ℃, coma, shortness of breath, nose flap, lower lungs knock turbid, rough breathing sounds, diffuse wet rales, apical Systolic Ⅱ level murmur. Abdominal bulge