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1病例报告患者男,17岁。新兵。因上腹部疼痛伴晕厥来卫生队就诊。接诊医师以为是低血糖,给予50%葡萄糖注射液20ml口服,稍有好转回连队,但回去途中再次晕倒就诊。询问病史,诉前一天晚上左上腹不小心撞到床沿,当时疼痛不明显,未予注意。其后上腹部疼痛加重,并出现晕厥。查体:体温36.7℃,血压92/45mmHg,痛苦面容,被动体位,腹软,左上腹部、脐周压痛反跳痛阳性,麦氏点反跳痛阳性,以左上腹疼痛为著。综合患者有左上腹撞伤史、疼痛逐渐加重和血压低及晕厥等症状,考虑
1 case report patient male, 17 years old. Recruits. Due to upper abdominal pain with syncope to the health team treatment. Admissions doctors think it is hypoglycemia, given 50% glucose injection 20ml orally, slightly better back to the company, but go back and fainted again on treatment. Inquired about the medical history, sued the left upper abdomen accidentally crashed into the bed along the night before the complaint, when the pain was not obvious, did not pay attention. After the upper abdominal pain increased, and syncope. Physical examination: body temperature 36.7 ℃, blood pressure 92 / 45mmHg, painful face, passive position, abdominal soft, upper left abdomen, umbilical tenderness rebound tenderness positive, Maxwell point rebound pain positive to the left upper quadrant pain. Comprehensive patients with history of left upper quadrant injury, the pain gradually increased and low blood pressure and syncope and other symptoms, consider