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1病例报告 例1:20岁男患,以左上腹疼痛24h,不全肠梗阻入消化内科。入院前1天在林甸县医院行胃肠减压抽出30ml鲜血,误认下胃管误伤。查体:体温、脉博正常,血压15.99/10.66kPa。意识清,五官端正,心肺未见异常。腹部平软对称,肝脾未触及,左上腹轻度压痛、反跳痛,肠鸣音亢进,未闻及气过水声。血常规、胸腹X线片、腹部B超均正常。当日普外科会诊无剖腹探查指征,在内科行消炎补液等治疗。次日患者左上腹痛加重,出现烦燥不安,贫血外观,余同前。急
A case report 1: 20-year-old male patient with a left upper quadrant pain 24h, incomplete intestinal obstruction into the digestive medicine. One day before admission, Lindian County Hospital discharged 30ml of gastrointestinal decompression blood, mistakenly believe that the lower tube accidental injury. Physical examination: body temperature, pulse Bo normal, blood pressure 15.99 / 10.66kPa. Clear consciousness, handsome, no abnormal heart and lung. Abdomen flat and soft symmetry, liver and spleen not touched, mild left upper quadrant tenderness, rebound tenderness, bowel sounds hyperthyroidism, no smell of gas over the water. Blood, chest X-ray, abdominal B-normal. On the day of general surgery consultation without laparotomy indications, anti-inflammatory rehydration therapy in the medical line. The next day the patient increased upper left abdominal pain, irritability, anemia appearance, Yu Tong ago. anxious