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【例1】患者29岁,因突发下腹部疼痛,阵发加重3小时就诊,腹痛无明显诱因,痛重时伴有恶心、呕吐、腹泻、里急后重及下坠感,来院后呕吐两次为胃内容物,大便3次为不成形稀便,无脓血,阴道有少量流血。查体:血压14.9/10.1kPa、体温正常、脉搏92次/分,急性病容,腹部平坦,下腹部轻压痛、反跳痛明显,以右侧为甚。肠鸣音较活跃。外科疑急性阑尾炎,给予消炎解痉治疗。留院观察3小时后,腹痛加剧,面色苍白,血压下降至9.3/6.6kPa,脉
[Example 1] Patient 29 years old, due to sudden lower abdominal pain, paroxysmal aggravate 3 hours treatment, abdominal pain no obvious incentive, accompanied by nausea, vomiting, diarrhea, tenesmus and fall feeling, back to vomiting twice as stomach Contents, stool 3 times for the formation of loose stools, no sepsis, vaginal bleeding. Physical examination: blood pressure 14.9 / 10.1kPa, normal body temperature, pulse 92 beats / min, acute disease, flat abdomen, lower abdomen tenderness, rebound pain obvious to the right side. Bowel sounds more active. Surgical suspected acute appendicitis, antiphlogistic antispasmodic treatment. Observed in hospital for 3 hours, aggravated abdominal pain, pale, blood pressure dropped to 9.3 / 6.6kPa, pulse