1案例资料吕某,男,41岁,某日晚饭后被他人殴打致伤,伤后即感腹痛并持续加重。次日凌晨2时许入院,查:体温36.0℃,脉搏90次/min,呼吸20次/min,血压13.3/8kPa(100/60mmHg)。腹部膨隆,未见肠形及蠕动波;剑突下4cm处腹壁可见2处皮肤擦伤,大小分别为2cm×1cm、1cm×1cm;全腹压疼(+),以右侧腹部及脐上为著,腹肌轻度紧张,移动性浊音(+),肠鸣音 1 case information Lv Mou, male, 41 years old, one day after dinner was beaten by others injured, the feeling of abdominal pain and continued to aggravate. The next day at 2 am admission, check: temperature 36.0 ℃, pulse 90 beats / min, breathing 20 beats / min, blood pressure 13.3 / 8kPa (100 / 60mmHg). Abdominal bulge, no intestinal and peristaltic waves; 4cm below the xiphoid abdominal wall can be seen two skin abrasions, the size of 2cm × 1cm, 1cm × 1cm; the whole abdominal pressure pain (+), to the right abdomen and umbilical For, mild abdominal tension, mobility dullness (+), bowel sounds