论文部分内容阅读
1病历报告患者,女,20岁,因腹痛、腹胀1个月,加重1周于2003年2月12日在北京协和医院就诊。腹痛为脐周绞痛,阵发性加重,伴恶心、呕吐,无畏寒、发热等不适。饮食量少,大小便正常。既往无食物及药物过敏史。查体:T36.7℃,P 90次/min,R20次/min,BP120/80mmHg。神志清楚,意识状态正常,营养中等,表情痛苦,呼吸困难,双侧胸部语颤增强,呼吸音减低。腹部膨隆,未见肠型及蠕动波,全腹柔
1 medical records of patients, female, 20 years old, due to abdominal pain, bloating 1 month, an increase of 1 week in February 12, 2003 in Beijing Union Medical College Hospital. Abdominal pain for umbilical cramps, paroxysmal aggravated, with nausea, vomiting, chills, fever and other discomfort. Eat less, normal urine. Past history of food and drug allergy. Examination: T36.7 ℃, P90 times / min, R20 times / min, BP120 / 80mmHg. Consciousness, normal consciousness, moderate nutrition, painful facial expressions, difficulty breathing, increased bilateral vocal flutter, reduced breath sounds. Abdominal bulging, no intestinal and peristaltic waves, all abdomen soft