论文部分内容阅读
患者女,46岁。因“持续性腹痛伴恶心呕吐20余小时”入院。无发热、畏寒。既往有剖腹产、结扎术史。体格检查:Bp 90/61 mmH g,急性痛苦病容,腹部膨隆,右下腹突出明显;全腹压痛,右下腹压痛明显,反跳痛、肌紧张(+),Murphy’s征(-),腹部叩诊鼓音,移动性浊音(-),肠鸣音2~4次/min。实验室检查:WBC 12.72×10~9/L,N:91.9%。腹平片提示肠梗阻。B超:腹腔肠管显像,肠间隙积液。腹
Female patient, 46 years old. Because of “persistent abdominal pain with nausea and vomiting more than 20 hours ” admission. No fever, chills. Past caesarean section, ligation history. Physical examination: Bp 90/61 mmHg, acute pain, bulging abdomen, prominent right lower quadrant; total abdominal tenderness, right lower quadrant tenderness, rebound tenderness, muscular tension (+), Murphy’s sign (-), abdominal percussion drum Tone, mobility dullness (-), bowel sounds 2 to 4 times / min. Laboratory tests: WBC 12.72 × 10 ~ 9 / L, N: 91.9%. Abdominal plain film prompted intestinal obstruction. B ultrasound: abdominal intestine imaging, intestinal interstitial fluid. belly