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某男,27岁,就诊前4小时顿服水银2500 g,即刻吐出500 g,感心慌、气短,上腹部呈持续性坠痛,平卧疼痛减轻,取坐、立位时疼痛明显加剧。查体:T 36.4℃,P 94次/min,R 24次/min,BP 130/82 mmHg。神志清,仰卧屈曲位,烦燥不安。双肺呼吸音清晰,未闻及罗音,心律齐,各瓣膜区未闻及杂音。腹平坦,中下腹明显压痛,可扪及形状不规则包块,压之或推移包块消散,体位变动时包块亦可移动。腹肌不紧,肝浊音界存在,腹部移动性浊音阴性,肠鸣音亢进。腹透:胃体下界在髂棘连线下14 cm处,内充满高密
A man, 27 years old, 4 hours before treatment Dayton serving mercury 2500 g, immediately spit 500 g, feeling flustered, shortness of breath, persistent pain on the abdomen, flat stomach pain relief, take the sit, stand pain significantly increased. Examination: T 36.4 ℃, P 94 times / min, R 24 times / min, BP 130/82 mmHg. Conscious, supine flexion bit, irritability. Breath sounds clear lungs, no smell and rales, rhythm Qi, the valve area did not smell and noise. Belly flat, abdominal tenderness was obvious, palpable and irregular shape mass, pressure or mass mass dissipated, body mass changes can move mass. Not tight abdominal muscles, liver dullness sector there, voiced negative abdominal movement, bowel sounds hyperthyroidism. Peritoneal: lower body of the corpus in the iliac crest connected to 14 cm, filled with high density