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1临床资料患者,男,62岁,主因上腹部胀痛8 d,加重3 d伴咳嗽、咳痰,于2014年3月18日入住我院。入院查体:体温37.0℃,脉搏90次/min,呼吸20次/min,血压160/90 mmHg(1mmHg=0.133 kPa)。营养状态肥胖,皮肤色泽正常。血常规示:白细胞总数20.03×109个/L,嗜中性粒细胞比例88.2%,血红蛋白140 g·L-1。生化常规示:UREA12.96mmol·L-1,CREA131.7μmol·L-1,CHE4 426 U·L-1。腹部CT示:胰腺水肿,胰周积液,胰周边界不清。胸部CT示:
1 Clinical data Patients, male, 62 years old, the main abdominal pain due to 8 d, increased 3 d with cough, sputum, on March 18, 2014 admitted to our hospital. Admission examination: body temperature 37.0 ℃, pulse 90 beats / min, breathing 20 beats / min, blood pressure 160/90 mmHg (1mmHg = 0.133 kPa). Nutritional status obesity, normal skin color. Blood showed: the total number of leukocytes 20.03 × 109 / L, neutrophil ratio 88.2%, hemoglobin 140 g · L-1. Biochemical routine showed: UREA12.96mmol·L-1, CREA131.7μmol·L-1, CHE426U · L-1. Abdominal CT showed: pancreatic edema, peripancreatic fluid, peripancreatic border unclear. Chest CT showed: