A case of duodenal diverticulum single huge _14764

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A case of duodenal diverticulum single large

Series: reclined Guiying), 1 U Il a Mexican Chu chu ci in L-type Escherichia coli urinary tract infection cases ~ heavy rain discretion f. - {Xue akishimo White City hospital medical record: patient woman. 3O-year-old field the amount of repeated difficulties, Lu acute urinary Po, crying pain for 6 years. Increase the hospital a month. Penicillium burdock during hospitalization have used f, Qing Trappe burdock f, metronidazole. Ampicillin, IV V, Li River Pioneer ADM injection, has done three times in urine bacterial culture. A cultivated E. coli, two sterile longevity. Physical examination: body temperature Philip. 9 ℃. Chronic tolerance, physical weight loss. Cardiopulmonary no exception. Mild right lower quadrant tenderness, positive drain tap two kidney area. Whole body without edema. Urine pus 5 ~ 12/up, small round cells 2 ~ 4/up-RBCI ~ 3/up. Negative bacterial culture of urine - by Ching Fu vancomycin, metronidazole intravenously for two weeks without improvement in t and to higher hospital the brain with a special culture medium Cao L ~-type Escherichia coli, Greece streptozotocin on properly, bacteria Bristol sensitive. Intravenous pyelography: Renal secretion of the two sorrowful good expansion of the right renal pelvis, renal calyx cup fine bread t ureter expansion. Consistent with chronic inflammatory changes. Discussion: The prevalence of urinary tract infection in women 2o. The process is quite complex. Often associated with upper urinary tract infection and urinary tract infection in Taiwan exists. It is the second cause of uremia - accounted for 25 adults and children with uremia, seriously threatens people's raw song - about 8 urinary tract infection pathogens. Repentance intestinal bacteria in soil is the result of chronic pyelonephritis, end-stage renal disease (ES. RN) for an important cause. Pyelonephritis, renal medulla is the bacteria on the main site of infection may be trapped hook renal medullary blood supply less than the cortex - medulla partial pressure of oxygen below the cortex. Meanwhile, the environment inhibited hypertonic medulla obituary sports activities. Promote survival of protoplasmic beam shadow} - krypton dimension is too high. Inactivated complement can also inhibit the ability of bacteria split the defense. Chronic pyelonephritis is a recurring problem - the reasons are: (1) the presence of predisposing factors I (2) renal pelvis posts】 I pupil. Renal papilla deformation blast trapped paralysis - is conducive to potential pathogens steep I (3) after long-term use of antibiotics - drug resistant bacteria. Or enter the forest of medical information 1994 8 Fine II6l membrane, so that antibiotics lose their ability to dip bacteria l (· 1) or antibiotics in humoral immunity under the scribe. Can not form the cell membrane to form protoplasmic nature, in the medulla hypertonic environment still alive, so if the environment effectively, re-growth and reproduction and re-membrane disease. Namely protoplasmic strain (L-type) - Chronic pyelonephritis is considered to be more difficult to cure and then poetry ff progress of the disease. Has been reported in the urine culture was negative chronic nephritis glenoid bone disease. Puree can be found around about 2O strain. The report of the case to (1) improve the way clinicians infected feces attention - the treatment must have a Department of Environmental law - to ensure that medication is reasonable, adequate treatment. Medication should be based on susceptibility results, to avoid the formation of bacterial L-type. (2) In the course of treatment - such as disease symptoms there was no bacterial growth when the general culture - to the police the presence of transient bacterial L-type, while the use of special culture medium. (3) The laboratory should have the hypertonic medium. L-type strains can be detected. Improve the diagnosis of pyelonephritis Sun Jing Sun Xiujuan White City Blood Center - a --- ~ medical record: female children, 3 years old. Physical examination: T36.5 ℃. PI40 / min. R40 / min. The general state of shame. Wilt the spirit of collapse. Unable to amnesty. Membrane pale skin and fools - the whole body can be seen pressing the rash does not fade. The limbs for the. More than nosebleed, vomiting 3 times. Hong Yi black vomit. f dagger laboratory tests: platelet count 4X10/L- attending Sri Lanka for thrombocytopenic purpura. . : Treatment: the first input of fresh blood 200ml-base to see relief by the observation of the symptoms, but also a continuous input of fresh platelet concentrate every other day for 3 times, well 6u, remission, nosebleed stopped, normal body temperature, vomiting only. Food good, two will be normal, a good general state, ruddy, barrier bleeding body gradually absorbs the original investment and new bleeding tut to - hospital 5 days and discharged. Discussion: The clinical need for blood transfusion patients. Not require blood transfusion base - the majority of patients only need to become anti-I ~ 2 种. Other elements enter the patient's body with the blood barrier, resulting in efficient use of the blood pump is not sterile. Thrombopoietin induced platelet disorder is the main reason for low base. Pull the blood seep through the blood of how many small clinical symptoms with a certain relationship or education. Determine the need for platelet transfusion is an important concept of harm indicators. However, a small pull in the acute blood of mouth to reduce malaria,[link widoczny dla zalogowanych], patients with bleeding tendency to sterility. Can be treated urgent infusion of platelet concentrates - platelets Long live cattle for 3 to 4 days, field and infusion interval should not be too long. L ~ 2 天 best lose every time, every time 2u (units), up until the normal blood platelet count or symptoms so far. Concentrated blood is a high concentration of small pull the blood of small pull farming agents, transfusion

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