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患者女,25岁,孕1产0,住院25527。因妊娠末期先兆子痫于1981年10月14日入院。经治疗无好转,于10月21日上午在针麻加局麻下行子宫下段剖宫产术顺利娩出1400g及1200g双女婴,手术经过顺利,术中未翻动肠管。术后第二天自然排气,进半流食。于术后第四天晚7时起自觉胃部胀痛,伴反酸、嗳气;术后第五天晨起大便二次,为暗褐色稀便,上腹部持续性疼痛阵发性加剧,自晨起排便一次后未排气排便。既往健康。检查:全腹膨隆,可见肠型及蠕动波,全腹有压痛及反跳痛,以右上腹为著,肌紧张不明显,右上腹可触及一鸡卵大包块,右下腹叩诊较浊,余为鼓音,肠青(?),振水音阳性,可闻及不典型气过水音。
Female patient, 25 years old, pregnant 1 produce 0, 25527 in hospital. Preeclampsia was admitted to hospital on October 14, 1981 because of pre-eclampsia during pregnancy. After treatment without improvement, on the morning of October 21 acupuncture plus local anesthesia in the lower uterine segment cesarean delivery of 1400g and 1200g twin baby, the operation went through smoothly, surgery did not fistula. After the second day of natural exhaust, into the semi-liquid food. On the fourth day after surgery from 7:00 onwards conscious stomach pain, with acid reflux, belching; the fifth day after the onset of stool twice, dark brown loose stools, persistent abdominal pain intensified, since Early morning defecation once without defecation. Past health. Check: whole abdominal bulge, intestinal and peristaltic waves can be seen, the whole abdominal tenderness and rebound tenderness to the right upper abdomen, muscle tension is not obvious, the right upper quadrant can reach a chicken egg mass, right lower quadrant percussion more turbid, I drum sound, intestinal cyanosis (?), Vibration sound positive, can be heard and atypical gas over water sound.