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1.病例介绍 患者:32岁,女,工人,妊娠7月持续性腹痛,阵发性加剧,伴恶心、呕吐,无排气排便。于1994年8月2日以腹痛原因待诊急诊入院,孕_2产_1,未次月经1994年2月1日。孕期无不良反应,产科检查排除先兆早产。查体:急性痛苦面容,端坐呼吸,大汗淋漓,被动体位,全腹膨胀,腹膜刺激征(艹),肠鸣消失,诊为急腹症,立即在硬腹外麻醉下行剖腹检查,术中具有大量血性腹水,乙状结肠胀气明显,回肠扭转形成囊袋压迫乙状结肠形成梗阻,回肠坏死120cm,坏死端距回音部约30cm,从回肠囊袋内穿出结肠解除梗阻,切除
1. Case description Patients: 32-year-old, female, worker, persistent abdominal pain in July of pregnancy, paroxysmal increase, with nausea, vomiting, no defecation. On August 2, 1994 to abdominal pain diagnosis emergency hospital admission, pregnancy _2 production _1, not secondary menstrual February 1, 1994. No adverse reactions during pregnancy, obstetric examination excluded threatened premature delivery. Physical examination: acute pain face, sitting and breathing, sweating, passive position, total abdominal distension, peritoneal irritation sign (艹), bowel disappeared, diagnosed with acute abdomen, immediately under abdominal anesthesia laparotomy, surgery In a large number of bloody ascites, sigmoid flatulence significantly, the formation of ileal pouch compression sigmoid colon obstruction, ileal necrosis 120cm, necrotic end of the echo from the Ministry of about 30cm, from the ileal pocket puncture out of the obstruction, resection