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患者 男 32岁。醉酒后昏睡4小时,醒后全腹持续性疼痛,伴恶心呕吐20小时,于1994年5月7日急诊入院,体检、体温37.3℃,血压20/12kPa,脉搏95次。全腹肌紧张,轻度压痛及反跳痛,移动性浊音阳性。腹透右膈下见少量游离气体。拟诊:胃或十二指肠溃疡穿孔,准备行剖腹探查术。术前导尿排出血性尿液约30ml,追问病史发现发病后1天无排尿,始想到膀胱破裂的可能。在连续硬膜外麻醉下剖
Male patient is 32 years old. Drowsiness drunk for 4 hours, wake up after the abdomen of persistent pain, with nausea and vomiting 20 hours in May 7, 1994 emergency admission, physical examination, body temperature 37.3 ℃, blood pressure 20 / 12kPa, pulse 95 times. All abdominal muscle tension, mild tenderness and rebound tenderness, mobility dullness positive. See a small amount of free gas under the right diaphragm. To be diagnosed: gastric or duodenal ulcer perforation, ready for laparotomy. Preoperative catheterization hemorrhagic urine about 30ml, asked the history of the disease found no urine after 1 day, the thought of the possibility of bladder rupture. Under continuous epidural anesthesia section