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男,29岁,因进食凉蛋及饮酒后腹痛5小时,于1995年1月5日住院。无高血压、风心病史。入院时痛苦病容,巩膜无黄染,腹软,无固定压痛点,无反跳痛,未扪及包块,肝、脾肋下未及,腹水征阴性。入院前血红蛋白155g/L,白细胞13.6×10~9/L,中性88％,尿常规正常,诊断急性胃炎。经抗菌素及对症治疗疼痛无缓解。B超提示左侧输尿管结石并扩张。间断用阿托品、安定、杜冷丁等药物,疼痛仍不见缓解。入院第4天感腹胀、恶心、呕吐,全腹压痛及反跳痛,腹水征阴性,肠鸣音弱。腹透未见异常。经清水灌肠腹胀不减轻,又给予胃肠减压。在胃管插入的同时
Male, 29 years old, was hospitalized on January 5, 1995 due to abdominal pain after eating cold egg and drinking alcohol for 5 hours. No high blood pressure, rheumatic heart history. Admitted to hospital painful, Sclera no yellow dye, abdominal soft, no fixed tenderness point, no rebound tenderness, palpable mass, liver, spleen and ribs, ascites sign negative. Pre-admission hemoglobin 155g / L, white blood cells 13.6 × 10 ~ 9 / L, 88% neutral, urine routine normal diagnosis of acute gastritis. After the antibiotic and symptomatic treatment of pain without remission. B-Tip left ureteral calculi and expansion. Intermittent atropine, diazepam, pethidine and other drugs, the pain is still not alleviated. The first 4 days of admission, abdominal distension, nausea, vomiting, tenderness and rebound tenderness, ascites sign negative, bowel sounds weak. Abdominal see no abnormalities. Abdominal distension by water enema does not reduce, but also give gastrointestinal decompression. At the same time as the tube is inserted