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患者男,14岁,因腹痛、腹胀、呕吐、无排气、排便2天,于1997年5月20日入院。入院前2天患者上腹、脐周持续胀痛伴阵发绞痛,疼痛向背部放射,伴频繁呕吐。3年前因急性单纯性阑尾炎行阑尾切除术,术后恢复良好。体格检查:中度脱水貌,体温:37℃,脉搏:98次/分,呼吸:19次/分,血压:15/10kPa(112/75mmHg)。上腹膨隆、轻压痛,左下腹见6.0cm 瘢痕,无压痛,肠鸣音6次/分,偶闻高调肠鸣音及气过水声。立位腹部透视:上腹肠积气扩张有多个气液平面。以
Male, 14 years old, was admitted to hospital on May 20, 1997 due to abdominal pain, abdominal distension, vomiting, no discharge and defecation for 2 days. 2 days before admission, patients with upper abdomen, continuous umbilical pain with intermittent colic, pain radiating to the back, with frequent vomiting. 3 years ago due to acute simple appendicitis appendectomy, postoperative recovery was good. Physical examination: moderate dehydration, body temperature: 37 ℃, pulse: 98 beats / min, respiration: 19 beats / min, blood pressure: 15 / 10kPa (112 / 75mmHg). Abdominal bulging, mild tenderness, see the left lower quadrant 6.0cm scar, no tenderness, bowel sounds 6 times / min, even heard of high-profile bowel sounds and gas over the water. Standing Abdominal Perspective: Gastrointestinal expansion of the upper gastrointestinal tract has multiple gas-liquid levels. To