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患者,女,26岁。1989年6月26日入院。2小时前被人用拳击左季肋部,即感左上腹钝痛,伴有头晕及呕吐,疼痛向左肩部放射,无血吸虫病及肝炎病史。体检:神志清,痛苦表情。P86次/分,Bp13.0/7.5kPa.心肺无异常。全腹肌软,左上腹压痛,无反跳痛,无移动性浊音。血常规:HB100g/L.WBC17.5×10~9L.NO.81腹部透视膈下未见游离气体。临床初诊腹痛待查?
Patient, female, 26 years old. June 26, 1989 admitted to hospital. 2 hours ago was boxing left quarter rib, that sense of the left upper quadrant dull pain, accompanied by dizziness and vomiting, pain, left shoulder radiation, no history of schistosomiasis and hepatitis. Physical examination: conscious, painful expression. P86 times / min, Bp13.0 / 7.5kPa. Cardiopulmonary no abnormalities. Total abdominal muscle soft, left upper quadrant tenderness, no rebound tenderness, no mobility dullness. Blood routine: HB100g / L.WBC17.5 × 10 ~ 9L.NO.81 Abdominal fluoroscopy no gas under the diaphragm. Clinical examination of abdominal pain pending?