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患者23岁,因腹痛3h,诊断为妊娠39~(+5)周,孕1产0,左枕前,临产,收入院。入院后疼痛自行缓解。10d后再次出现下腹阵发性疼痛,持续18h。检查宫口仅开大1cm,诊断为妊娠41~(+1)周,孕1产0,左枕横,宫颈难产。即行剖宫产术。术中见腹腔内有血性腹水,肠胀气明显。横形切开子宫下段,顺利娩出一男婴,重3000g。术后,患者腹胀加剧,次晨出现高热,体温持续39℃以上。术后24h检查发现,腹胀明显,左侧腹可及一个10cm×5cm的实性包块,压痛,全腹腹肌紧张,有反跳痛,可闻及气过水音。B超检查,右侧腹液性包块,长9.0cm,腹水征。腹部平片见上腹部肠管充气扩张,右上腹见数个液平面。诊断为急性肠硬阻、
Patients 23 years old, due to abdominal pain 3h, diagnosis of 39 ~ (+5) weeks of pregnancy, pregnancy 1 producing 0, left occipital, labor, income hospital. After admission to relieve pain. Lower abdominal paroxysmal pain appeared again after 10 days for 18 hours. Check the cervix only open large 1cm, diagnosed as pregnancy 41 ~ (+1) weeks, a pregnancy 0, left occipital transverse cervical dystocia. Cesarean section that line. Intraoperative see bloody ascites, flatulence evident. Cross cut the lower uterine segment, successfully delivered a baby boy, weighing 3000g. After surgery, patients with abdominal distension intensified the next morning fever, body temperature continued to 39 ℃ above. Postoperative 24h examination revealed significant abdominal distension, the left flank and a 10cm × 5cm solid mass, tenderness, abdominal full abdominal tension, rebound tenderness, can be heard and gas over the water sound. B-ultrasound, right abdominal mass, length 9.0cm, ascites sign. Abdominal plain see the upper abdominal bowel inflatable expansion, see the right upper quadrant of several liquid level. Diagnosis of acute intestinal stiffness,