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患者,男,58岁,因发热,持续性腹痛2天,但无明显头痛,呕吐,无咳嗽、胸痛,二便正常,经当地医疗站诊治,未见好转,来我院急诊,以发热腹痛原因待查入内科住院治疗。查体:T39.5℃,P105次/分,R20次/分BP14.0/10.0kPa,神清,皮肤矾膜无黄染,双瞳孔等大等圆,对光反射良好,咽部轻度充血。双扁桃腺不肿大,颈稍抵抗,双肺呼吸音清,心率105次/分,律整,未闻病理性杂音,腹稍胀,未见肠型,全腹均压痛,无反跳痛,肝、脾、胆未触及,肝浊音界正常,双肾区无叩击痛,肠鸣音存在,克氏征(±),巴氏征(-)
The patient, male, aged 58, had persistent abdominal pain for 2 days due to fever, but no obvious headache, vomiting, no cough, chest pain, and two were normal. After treatment at the local medical station, her condition did not improve. Reasons to be admitted to medical hospitalization. Examination: T39.5 ℃, P105 beats / min, R20 beats / min BP14.0 / 10.0kPa, Shen Qing, skin alum film without yellow dye, double pupil and other large circle, the light reflection is good, the pharynx mild Congestive. Double tonsil does not enlarge, the neck a little resistance, breath sounds clear lungs, heart rate 105 beats / min, rhythm, no pathological murmur, swollen belly bulimia, no intestinal type, all abdominal pressure tenderness, no rebound tenderness , Liver, spleen, gallbladder not touched, normal liver dullness, perlingal area without percussion pain, bowel sounds exist, Kirschner Sign (±), Pakistan’s sign (-),