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作 者:孙海珠[1] 王德莹[1] 贾茹[1] 刘晶晶[1] 邱晓红[1]
机构地区:[1]哈尔滨医科大学附属第二医院妇产科,150086
出 处:《中国糖尿病杂志》2014年第2期181-182,共2页Chinese Journal of Diabetes
摘 要:报道1例T2DM合并盆腔脓肿及脑脓肿患者,因"闭经伴下腹胀2年,发现盆腔包块10余天"入院。既往体健,未发现糖尿病。查体发现下腹部轻压痛,阴道黄色脓性分泌物。75g OGTT确诊T2DM。盆腔脓肿、脑脓肿均经病灶切除术后病理证实。胰岛素、手术综合抗生素治疗有效。糖尿病与感染两者相互作用,同时治疗效果更佳。A 42-year-old woman complained of amenorrhea with abodominal distension for two years,pelvic masses were found more than ten days before hospitalization. Physical examination showed lower abdominal tenderness, and yellow purulent vaginal discharge. The patient was well previously, and did not find diabetes. 75 g OGTT showed a diagnosis of T2DM. Pelvic abscess and encephalopyosis were both confirmed by pathology. Insulin, surgical and antibiotic therapy were effective. Treating diabetes and infections were needed at the same time.
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