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患者女性,70岁,突发左上腹剧痛1小时入院。患者无外伤史,急性痛苦病容,面色苍白,辗转不安,呻吟不止。查体:脉搏82次/分,呼吸21次/分,血压19/12Kpa,左上腹饱满,压痛明显,轻度肌萎,腹部无移动性浊音。 二维超声所见:腹主动脉未见局限性扩张与夹层形成,动脉内膜可见硬化斑块形成,沿腹腔动脉干一脾动脉走行扫查至脾动脉中段可见一囊状液性区约6.2×6.1cm,脾动脉与液区直接贯通,周围可见强回声包
Female patient, 70 years old, sudden left upper quadrant pain 1 hour admission. No history of trauma patients, acute pain, pale, tumbled, moaning more than. Physical examination: pulse 82 beats / min, breathing 21 beats / min, blood pressure 19 / 12Kpa, full left upper quadrant, tenderness, mild muscular wilting, abdominal no dullness. Two-dimensional ultrasound seen: abdominal aorta no limitations of expansion and dissection, the formation of arterial intima showed plaque formation along the celiac artery splenic artery scanning to the middle of the splenic artery visible a cystic fluid area of about 6.2 × 6.1cm, splenic artery and fluid area directly through the strong echo package can be seen around