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1病例介绍 患者,女65岁。于2000年4月因小腹胀未排尿7 d来我院诊治。该患者7日前因腹泻10余次/d便呈未消化食物水样,在村诊所每日静脉补液体1000ml左右,具体用药不详,腹泻无好转出现不排尿,伴有小腹胀加重,腹围逐渐增大。入院时查体:脉搏125次/min、呼吸28次/min,痛苦面容、前屈体位、腹部膨隆、下腹正中拒触,立即给予导尿,尿液快速流出病人当即腹胀减轻,4 h内缓慢间歇导出5 000ml。辅助检查:双肾积水,膀胱大于正常2倍。血常规正常、尿常规:RBC(+++)。给予抗炎治疗
1 case description of patients, female 65 years old. In April 2000 due to small abdominal distension urination 7 d to our hospital for treatment. The patient 7 days ago due to diarrhea more than 10 times / d were undigested food water samples, daily intravenous fluid clinic in the village clinics about 1000ml, the specific medication is unknown, there is no improvement of diarrhea, no voiding, accompanied by increased abdominal distension, abdominal circumference gradually Increase. Admission examination: pulse 125 beats / min, breathing 28 beats / min, painful face, flexion position, abdominal bulging, lower abdomen in the middle refused to touch, immediately give catheterization, rapid outflow of urine in patients with immediate abdominal distension, slow within 4 h Export 5 000 ml intermittently. Auxiliary examination: hydronephrosis, bladder 2 times greater than normal. Normal blood, urine routine: RBC (+++). Give anti-inflammatory treatment