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病例资料患者,女,52岁,因“腹部胀痛、恶心、呕吐”7 d以“腹痛待查、急性肠梗阻”收入笔者所在医院。患者于入院前7 d无明显诱因出现腹部胀痛,伴肛门停止排气、排便及恶心、呕吐,呕吐后症状缓解不明显,无发热。患者既往无手术史及外伤史。查体:患者急性面容,一般状态差,呼吸急促。腹部膨隆,未见胃肠型及蠕动波,未触及包块。全腹有压痛,无反跳痛及肌紧张,肠鸣音亢进。腹部X线立位
Case information The patient, female, 52 years old, because of “abdominal pain, nausea, vomiting ” 7 d to “abdominal pain pending investigation, acute intestinal obstruction ” income author’s hospital. 7 days before admission, no obvious incentive for patients with abdominal pain, with anus to stop the exhaust, defecation and nausea, vomiting, vomiting, relieved symptoms were not obvious, no fever. Past history of patients without surgery and trauma history. Physical examination: patients with acute face, the general state of poor, shortness of breath. Abdominal bulging, no gastrointestinal type and peristaltic wave, not touched the mass. Full abdominal tenderness, no rebound tenderness and muscle tension, bowel sounds hyperthyroidism. Abdominal X-ray position