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病人男性,71岁。病人因主诉“发作性脐周及右上腹部疼痛16d加重1d于2012-03-09前来山西医科大学第二临床医院就诊。疼痛呈发作性隐痛,位置固定,可耐受。病来食欲减退,无发热、无恶心呕吐、腹泻黑便。查体:腹部平坦,腹肌柔软,右中下腹部压痛明显,无反跳痛及肌紧张,未触及包块,移动性浊音(-),肠鸣音3～4次/min。曾于当地医院行腹部彩超检查示:腹腔少量积液。转我院后症状无明显加重,给予抗炎、抑制胃酸等对症治疗,腹痛缓
Patient Male, 71 years old. Patients due to the main complaint ”onset of umbilical and upper right abdominal pain 16d increased 1d at 2012-03-09 came to the Second Clinical Hospital of Shanxi Medical University. Pain was episodic pain, location fixed, tolerable. Disease to loss of appetite , No fever, no nausea and vomiting, diarrhea black stool.Check the body: flat abdomen, abdominal soft, obvious tenderness in the right lower abdomen, no rebound tenderness and muscle tension, no palpable mass, shifting dullness (-), intestine Beeps 3 ~ 4 times / min. Had a local hospital abdominal color Doppler ultrasound examination showed: a small amount of intraperitoneal fluid transfer to our hospital after no significant symptoms, given anti-inflammatory, inhibition of acid and other symptomatic treatment, abdominal pain and slow