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患者王某,男,14岁,因自幼紫绀,反复上呼吸道感染14年入院。体检:唇紫,杵状指,胸骨左缘二、三肋间收缩期震颤及杂音,P2减弱。胸片见心脏靴形。心电图示右室肥厚。二维声心动图及数字减影血管造影均证实法洛氏四联症。血化验:Hb152g/L。经短期准备后于体外循环直视下作四联症根治术。术后切口感染,虽引流,仍有弛张热,疑败血症,血培养阴住。术后40日血压下降至9.33/5.33KPa,Hb68g/L,RBC2.38×10~(12)/L,WBC37.3×10~9/L,N0.95.腹腔穿刺获不凝鲜血。即剖腹。 术中见:腹内积稀薄混浊血1000ml,肝两叶散在蒙豆大脓灶及出血点,胰包膜,大网膜,左
Patient Wang, male, 14 years old, because of his childhood cyanosis, repeated upper respiratory tract infection 14 years admitted. Physical examination: Labial purple, clubbing, sternal left edge of two or three intercostal systolic tremor and murmur, P2 weakened. Chest see heart-shaped shoes. ECG shows right ventricular hypertrophy. Two-dimensional echocardiography and digital subtraction angiography confirmed tetralogy of Fallot. Blood test: Hb152g / L. After short-term preparation for undergoing cardiopulmonary bypass under the quadruple radical surgery. Incision infection, although drainage, there are still hot flashes, suspected sepsis, blood culture Yin live. 40 days after the blood pressure dropped to 9.33 / 5.33KPa, Hb68g / L, RBC2.38 × 10 ~ (12) / L, WBC37.3 × 10 ~ 9/L, N0.95. Abdominal puncture by non-condensable blood. That Caesarean section. Intraoperative see: Intravenous plot thin turbid blood 1000ml, liver and two leaves scattered in the big bean abscess and bleeding points, pancreatic capsule, omentum, left