ty -jour t1-右上象限腹痛，低血压和呼吸困难JF的患者 - 欧洲呼吸杂志P-W。au -kuo，p -h。au -chang，y -c。au -yang，p -c。Y1-2002/07/01 UR -http：//www.qdcxjkg.com/content/20/238.abstract N2-一名67 -yr Girm的女性被转移到台湾台湾的台湾国家医院，2001年5月2日，经过几天的腹痛，呼吸困难和低血压。她最初抱怨入院前4天，她的腹部右上象限（RUQ）上有间歇性的抽筋疼痛。两天后，注意到呼吸困难的突然发作和心理状况改变。然后，她被送到当地医院的急诊室，体温为37.5°C，并注意到80/30 mmHg的血压读数。 Abdominal sonography showed multiple gallstones and swelling of the gallbladder wall with the “triple-layer” sign. Her haemodynamics were stabilised by fluid challenge and empirical antibiotic therapy. She was then transferred to the National Taiwan University Hospital for further treatment. The patient was hypertensive for several years while under regular medical control. She had also received hormone replacement therapy for treatment of osteoporosis (1 tablet·day−1 of an unknown drug for 2 yrs). Her medical history was otherwise unexceptional. On examination, she was drowsy. Her body temperature was 37.5°C, blood pressure 160/92 mmHg, pulse rate 120 beats·min−1 and respiratory rate 24 breaths·min−1. The sclerae were not icteric. The pupils were isocoric with prompt light reflex. The neck was supple, without jugular vein distension or lymphadenopathy. The chest expanded symmetrically and breathing sounds were clear. No heart murmurs were detected. There was tenderness and muscle guarding at the RUQ abdomen with equivocal Murphy's sign. The liver and spleen were not palpable. The bowel sounds were hypoactive. No lower leg oedema was noticed. Neither skin rash nor petechiae were found. The initial laboratory studies revealed: a white blood cell count of 16.61×109 cells·L−1, with 86.2% neutrophil, 5.6% monocytes and 8.1% lymphocytes; a red blood cell count of 4.19×1012 cells·L−1; … ER -