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肠梗阻引起谵妄在临床实属少见,笔者手头资料未见有报道.现将我们所见1例报道如下:患者,女,48岁.主因呕吐伴腹痛3月.加重20余天.于1993年4月5日住我院.该患者3月前曾无明显诱因发生左上腹及剑突下疼痛,呕吐呈非喷射状,呕吐物为胃内容物.近日来,呕吐频繁,不能进食,腹胀伴有左上腹隐痛,偶有排便及排气.查体:T36.8℃,P80次/min,R20次/min,BP17/11kPa.神志清楚,心肺未见异常.腹平软,偶见肠型及蠕动波,左上腹有压痛但无反跳痛,肝脾未触及,腹水征阴性,肠鸣音3～5次/min.胸腹联透:可见中腹部有3个小液平面.中消化道造影:十二指肠逆蠕动增多,肠管扩张,空肠近端明显扩张,最宽直径约10cm,在中下段及左中腹部有2个波平面,左中腹部可见扩张小肠之后的明显狭窄段.患者住院期
Intestinal obstruction caused by delirium in clinical practice is rare, the author of hand information has not been reported.We now see a report of 1 cases are as follows: patients, female, 48 years old, mainly due to vomiting with abdominal pain in March.Experimental more than 20 days.In 1993 4 Living in our hospital on the 5th of 5. The patient had no obvious incentive to occur 3 months ago, the left upper quadrant and xiphoid pain, vomiting was non-jet-like, vomit for the stomach contents. In recent days, vomiting frequent, can not eat, abdominal distension accompanied Left upper quadrant pain, occasional defecation and exhaust. Examination: T36.8 ℃, P80 times / min, R20 times / min, BP17 / 11kPa. Conscious mind, heart and lung no abnormalities. Peristalsis, left upper quadrant tenderness but no rebound tenderness, liver and spleen not touched, ascites sign negative, bowel sounds 3 to 5 times / min. Thoracic and abdominal penetration: visible in the abdomen there are three small fluid level in the digestive tract Contrast: duodenal reverse peristalsis increased, bowel dilatation, jejunum proximal expansion was the most wide diameter of about 10cm, in the lower and middle left abdominal area has two wave planes, the left middle abdomen can be seen after the expansion of the obvious small bowel stricture. Hospitalization period