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包虫病在上海少见,医务人员认识普遍不足,2013年同济医院外科确诊1例,现报道如下。病例:男,27岁,因“突发上腹疼痛12 h”入院,外院CT检查示“肝左叶见大片状混合密度影,边界欠清,伴内出血可能”。病人自述既往有肝囊肿病史,此次发病前踢过足球,我院急诊予以腹腔穿刺,抽出少量淡黄色液体,拟诊“肝囊肿破裂”收入院。入院查体:神清,急性面容,腹肌稍紧张,全腹弥漫性轻压痛,肠鸣音稍减弱。病人生于上海,否认新疆、内蒙古等疫区停留及居住史,家中未养宠物。入院检查提示,凝血时间延长,凝血酶原时间(PT)为13 s,
Echinococcosis rare in Shanghai, medical staff generally lack awareness, 2013 Tongji Hospital surgical diagnosis of 1 case, are reported below. Case: Male, 27 years old, due to “sudden upper abdominal pain 12h ” admission, outside the hospital CT examination showed “left lobe of the liver see large patchy mixed density shadow, the border is not clear, with bleeding may ”. Patient readme history of hepatic cysts, before the onset of kick football, our hospital emergency department to be abdominal puncture, taking a small amount of light yellow liquid, to be diagnosed “liver cyst rupture ” income hospital. Admission examination: Shenqing, acute face, abdominal a little nervous, full of diffuse mild tenderness, bowel sounds slightly reduced. Born in Shanghai, the patient denied staying and living history in affected areas such as Xinjiang and Inner Mongolia. His pet was not raised at home. Admission examination tips, clotting time, prothrombin time (PT) of 13 s,