11岁患儿十二指肠球部溃疡穿孔1例报告

• 作 者: 周平
• 机 构: 绵竹县人民医院外科 绵竹 618200
• 出 处: 临床消化病杂志
• 发表日期: 1997年02期
• 关键词: 右侧腹 消化性溃疡穿孔 全腹痛 腹穿刺 板状腹 脓性液体 上腹部 腹内 溃疡旷置 腹部透视

患者;男,11岁,因上腹痛1d,加重伴全腹痛14h,于1995年5月1日急诊入院。体检:体温37.7℃,脉搏98次/min,心肺(-),腹部平坦,板状腹,全腹皆有压痛及反跳痛,以右侧腹为甚,肠鸣音弱。右下腹穿刺抽出淡黄色脓性液体0.5 ml,腹部透视右侧膈下有少许游离气体。病史中2月来常诉上腹部饥饿性疼痛,伴反酸、呃气。诊断:消化性溃疡穿孔,入院后即行剖腹探查。术中见:腹内有淡黄

Patients; male, 11 years old, due to abdominal pain 1d, aggravating with full abdominal pain 14h, on May 1, 1995 emergency admission. Physical examination: body temperature 37.7 ℃, pulse 98 beats / min, cardiopulmonary (-), flat abdomen, flat belly, all abdomen are tenderness and rebound tenderness, to the right flank is very poor bowel sounds. Right lower quadrant puncture taken yellowish purulent liquid 0.5 ml, a small amount of free gas under the right side of the abdominal fluoroscopy. History of the past two months, often sued abdominal pain hungry, with acid, uh gas. Diagnosis: Peptic ulcer perforation, after laparotomy exploration. See intraoperative: pale yellow intra-abdominal