论文部分内容阅读
杨某,男,63岁,因腹痛12日,加剧2小时入院。既往有中上腹不适史2年。体查呈休克状,血压60/30mmHg。腹隆,呈板状,全腹压痛及反跳痛,以中下腹为著,偶闻气过水声。肛检直肠前壁可触及包块。X线透视左、右膈下有游离气体征。外周血白细胞8400/mm~3,中性80％。即剖腹,见阑尾居盲肠前位,约7×2cm,充血,水肿,远端有1cm硬结。空、回肠交界处有4×3cm肠穿孔。腹腔内广泛转移,胃肠道,肝脏,腹膜,盆腔均受累。作阑尾切除,肠穿孔修补及捷径手术。术后4小时死亡。病检示原发性阑
Yang Mou, 63, was hospitalized for an additional 2 hours due to abdominal pain on the 12th. There was a history of discomfort in middle and upper abdomen for 2 years. Physical examination was shock-like, blood pressure 60/30mmHg. The abdomen is long and platy, full abdominal tenderness and rebound tenderness, with the middle and lower abdomen, even heard the sound of over-water. Anal examination of the anterior rectal wall can touch the mass. X-rays have free gas signs under the left and right iliac crests. Peripheral blood leukocytes 8400/mm~3, neutral 80%. The caesarean section, see the appendix in front of the cecum, about 7 × 2cm, congestion, edema, distal 1cm induration. There was a 4 x 3 cm perforation of the intestine at the junction of the jejunum and ileum. Extensive intraperitoneal metastasis, gastrointestinal tract, liver, peritoneum, and pelvic cavity are involved. For appendectomy, intestinal perforation repair and shortcut surgery. Death occurred 4 hours after surgery. Disease detection