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患者李某,女,27岁,哑巴,禹州市磨街村人。以发烧、腹部胀痛20天,加重4天为诉,于92年2月3日住院治疗。主要症状和体征:体温37.6℃,腹部膨隆、对称。腹式呼吸消失、弥漫性腹壁紧张,全腹压痛及反跳痛、有移动性浊音、全腹鼓音、肠鸣音消失等,诊为消化道穿孔并弥漫性腹膜炎。入院当日,行肠穿孔修补术及腹腔引流术。术中可见:距回盲瓣30-100cm的回肠有五处系膜对缘穿孔,穿孔规则,充血
Patient Lee, female, 27 years old, dumb, Mill Street, Yuzhou City. To fever, abdominal pain for 20 days, aggravating four days for the complaint, on February 3, 92 hospitalization. The main symptoms and signs: body temperature 37.6 ℃, abdominal bulging, symmetrical. Abdominal breathing disappeared, diffuse abdominal wall tension, abdominal tenderness and rebound tenderness, a moving dullness, the whole belly drum sound, bowel sounds disappear, diagnosed as gastrointestinal perforation and diffuse peritonitis. The day of admission, bowel perforation repair and peritoneal drainage. Intraoperative findings: 30-100cm ileum from the ileocecal valve has five mesangial perforation, perforation rules, hyperemia