超声诊断恶性疟疾并发自发性脾破裂1例
发布时间：2019-03-05 08:37
【摘要】：正患者男,41岁,因"无明显诱因反复出现畏寒、发热、恶心、食欲缺乏、乏力、呕吐1周"入院,血恶性疟原虫(+),疟原虫金标法(+)。1个月前患者曾于非洲出差1周,当地为疟疾流行疫区。患者入院后出现腹痛,超声:膀胱直肠窝积液深约25mm。查体:腹部轻度膨隆,轻压痛,无急性腹膜炎症状。血常规:白细胞计数12.91×109/L,中性粒细胞百分比73.4%,红细胞计数4.99×1012/L,血红蛋白152g/L;凝血:凝血酶原时间活动度34%,血浆凝血酶原时间24.6s,纤维蛋白原0.8g/L,D-二聚体20μg/ml。予以抗休克,纠正弥散性血管内凝血等
[Abstract]:A 41-year-old male was admitted to hospital for "no obvious inducement to repeatedly develop fear of cold, fever, nausea, lack of appetite, fatigue, vomiting for one week", blood Plasmodium falciparum (), Plasmodium gold standard (). A month ago patients in Africa a week ago, the local malaria epidemic area. After admission, the patient had abdominal pain. Ultrasound: the effusion of bladder and rectum fossa was about 25 mm. Body examination: mild abdominal swelling, mild tenderness, no symptoms of acute peritonitis. Blood routine: White blood cell count 12.91 脳 109 mL, neutrophil percentage 73.4%, red blood cell count 4.99 脳 1012 mL, hemoglobin 152 g / L; Coagulation: prothrombin time activity 34%, plasma prothrombin time 24.6 s, fibrinogen 0.8 g / L, D-dimer 20 渭 g / ml. Antishock, correction of disseminated intravascular coagulation, etc.
【作者单位】： 深圳市第三人民医院超声科;
【基金】：深圳市第三人民医院与李兰娟院士团队合作项目
【分类号】：R445.1;R531.3;R657.62
本文编号：2434718
[Abstract]:A 41-year-old male was admitted to hospital for "no obvious inducement to repeatedly develop fear of cold, fever, nausea, lack of appetite, fatigue, vomiting for one week", blood Plasmodium falciparum (), Plasmodium gold standard (). A month ago patients in Africa a week ago, the local malaria epidemic area. After admission, the patient had abdominal pain. Ultrasound: the effusion of bladder and rectum fossa was about 25 mm. Body examination: mild abdominal swelling, mild tenderness, no symptoms of acute peritonitis. Blood routine: White blood cell count 12.91 脳 109 mL, neutrophil percentage 73.4%, red blood cell count 4.99 脳 1012 mL, hemoglobin 152 g / L; Coagulation: prothrombin time activity 34%, plasma prothrombin time 24.6 s, fibrinogen 0.8 g / L, D-dimer 20 渭 g / ml. Antishock, correction of disseminated intravascular coagulation, etc.
【作者单位】： 深圳市第三人民医院超声科;
【基金】：深圳市第三人民医院与李兰娟院士团队合作项目
【分类号】：R445.1;R531.3;R657.62
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