论文部分内容阅读
患者女性,32岁,因腹胀伴阵发性腹痛5天于外院治疗无效后入我院。既往腹痛病史5年。查体:T 38.4℃,P 120次/分,R20次/分,Bp 19.0/12.0Kpa,扶入病房,急性病容,表情痛苦,腹平坦,急腹压痛,反跳痛及肌紧张,以剑突下及右下腹明显,肝区叩痛(+),双肾区左季肋区无叩击痛,Marphy症阴性,肠鸣音亢进,可闻及气过水音。辅检:WBC30.4×10~9/L,S 0.859,L 0.141,ECG:
The female patient, 32 years old, was admitted to our hospital because of abdominal distension and paroxysmal abdominal pain for 5 days after she received no treatment in the hospital. History of previous abdominal pain for 5 years. Physical examination: T 38.4°C, P 120 beats/min, R20 beats/min, Bp 19.0/12.0Kpa, access to the ward, acute illness, expression pain, flat abdomen, acute abdominal tenderness, rebound tenderness, and muscular tension. The abrupt and right lower abdomen were marked, and the liver area was painful (+). The left-quarter rib area of the double kidney area had no percussion pain. Marphy’s disease was negative and the bowel sounds were hyperactive. Secondary examination: WBC 30.4×10~9/L, S 0.859, L 0.141, ECG: