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患者,女,30岁,以“G3P1孕24W,持续性上腹部疼痛,伴恶心,呕吐1小时”收住ICU。查体:体温36.5℃,心率76min-1,呼吸20min-1,血压90mmH g/60mmH g。神志清,痛苦貌,被动体位,心肺正常。肝脾未触及,腹隆起,上腹部压痛(+),反跳痛(±),腹肌略紧张。双下肢无浮肿;产检:胎位:不清,胎心:142min-1。生化:血淀粉酶(重度乳糜血):733U/L,脂肪酶389 U/L,钾5.71mmol/L,钠134.1mmol/L,氯107.1 mmol/L,钙0.96mmol/L,血糖19.76 mmol/L,
Patient, female, 30 years old, with “G3P1 pregnant 24W, persistent upper abdominal pain, with nausea and vomiting for 1 hour” “ICU.” Physical examination: body temperature 36.5 ℃, heart rate 76min-1, breathing 20min-1, blood pressure 90mmH g / 60mmH g. Conscious, painful appearance, passive position, normal heart and lungs. Liver and spleen not touched, abdominal bulge, upper abdominal tenderness (+), rebound tenderness (±), abdominal muscles slightly nervous. No lower extremity edema; Health check: fetal position: unclear, fetal heart: 142min-1. Biochemistry: blood amylase (severe chylous blood): 733U / L, lipase 389U / L, potassium 5.71mmol / L, sodium 134.1mmol / L, chlorine 107.1mmol / L, calcium 0.96mmol / L, blood glucose 19.76mmol / L,