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李某,女,46岁。因在1～2分钟内快速吃下一碗热面,即感上腹部阵发性疼痛,并有呕吐,每日10余次,呕吐物呈酱油色,于第三天以“肠梗阻”收入院。二天未解大小便,肛门停止排气。患者有“精神分裂症”,入院前在精神病院住院一月余。体检:T36.5℃,P126次,R21次,BP90/70mmHg,发育中等,营养较差,呈急性重病客,心肺检查无特殊,腹部膨隆,下腹部隐约可见肠型,全腹均有压痛,以右侧为甚,腹肌稍紧张,但未触及明显包块,上腹部叩诊音浊,肛诊无异常发现。化验:血红旦白6.6g,白血球21400,N91,L8,E1。尿常规:旦白(+),比重1.002。血钠100mEq,血氯80mEq,血钾
Lee, female, 46 years old. Because in 1 to 2 minutes to quickly eat a bowl of hot noodles, that the sense of paroxysmal abdominal pain, and vomiting, more than 10 times daily, vomit was soy sauce color, on the third day with “intestinal obstruction” income hospital. Two days unresolved toilet, anal stop exhaust. Patients had “schizophrenia” and were admitted to psychiatric hospital for more than one month before admission. Physical examination: T36.5 ℃, P126 times, R21 times, BP90 / 70mmHg, moderately developed, poor nutrition, acute serious illness off, no special cardiopulmonary examination, abdominal bulging, lower abdomen looming intestinal type, To the right side is even more, a little nervous abdominal muscles, but did not reach the obvious mass, percussion sound on the lower abdomen, anal abnormalities were found. Laboratory tests: blood red white 6.6g, white blood cells 21400, N91, L8, E1. Urine routine: white (+), the proportion of 1.002. Serum 100mEq, blood chlorine 80mEq, potassium