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患者女,31岁,因反复发作腹部绞痛13年于1984年2月6日入院。18岁出现发作性腹部绞痛,痛无定处。先后到多所医院就诊,曾拟诊为急性胆囊炎、胆道蛔虫症、急性阑尾炎等,家属拒绝手术。后因尿呈红茶水样,查尿 PBG(+)而确诊。治疗中两次肌注氯丙嗪,数分钟内出现胸闷与风疹样皮疹并向两臂及全身扩展,经用抗过敏药物皮疹方逐渐消退。2天前因生气又引起阵发性脐周绞痛并向前胸放射,伴恶
Female patient, 31 years old, suffered from recurrent abdominal cramps for 13 years and was admitted on February 6, 1984. 18-year-old onset of abdominal cramps, pain without a fixed place. Has to many hospitals for treatment, had been diagnosed with acute cholecystitis, biliary ascariasis, acute appendicitis, family refused to surgery. After the urine was black tea water samples, check urine PBG (+) and confirmed. In the treatment of intramuscular injection of chlorpromazine twice, chest tightness and rubella-like rash within minutes and to the arms and body expansion, by anti-allergy drug rash side gradually subsided. 2 days ago due to anger caused by paroxysmal umbilical colic and radiation to the chest, with evil