【摘 要】
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1病例报告例1男,39岁.突发脐周痛5 h;持续性加重,逐渐波及全腹,伴呕吐.入院体查:体温32.2℃,血压110/75mmHg,腹式呼吸消失.白细胞11.6×109/L,中性0.85.腹透膈下见游离气
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1病例报告例1男,39岁.突发脐周痛5 h;持续性加重,逐渐波及全腹,伴呕吐.入院体查:体温32.2℃,血压110/75mmHg,腹式呼吸消失.白细胞11.6×109/L,中性0.85.腹透膈下见游离气体.入院诊断:上消化道穿孔伴弥漫性膜炎.急行剖腹探察.术中见距回盲部150cm处回肠对系膜缘有0.7 cm×0.8 cm穿孔,穿孔处无肿块及溃疡病变,胃、十二指肠正常,从腹腔吸出液体约600ml,剪取孔周边上缘肠壁组织送病理检查.修补穿孔.术后诊断:自发性小肠穿孔伴弥漫性腹膜炎.术后治愈
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