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周×,男、40岁、干部、于1986年4月12日早、吃未蒸熟馍四两。食后两小时,觉胸闷、恶心、呕吐、内容物为稀饭、菜等。腹胀,乏力、服水几分钟就吐出。喝多少、吐多少、反复10多次。无排便或排气。体检:发育好、神清、呈痛苦面容。T37℃、P102次/分、R26次/分、BP95/65毫米汞柱、两肺呼吸音清、心率102次/分、律齐、各办膜区未闻及病理性杂音,肝、脾未触及。腹胀呈鼓音,肠鸣音减弱,未扪及明显包块。X线吞钡检查:未见钡剂明显通过幽门。诊断:急性完全性幽门梗阻。
Week ×, male, 40 years old, cadre, as early as April 12, 1986, eaten not steamed 馍 four two. Two hours after eating, feel chest tightness, nausea, vomiting, the contents of porridge, vegetables and so on. Bloating, weakness, serving a few minutes to spit it out. How much to drink, how many vomit, repeated more than 10 times. No defecation or exhaust. Physical examination: good development, supernatural power, was a painful face. T37 ℃, P102 beats / min, R26 beats / min, BP95 / 65 mmHg, breath sounds of both lungs clear, heart rate 102 beats / min, law Qi, touch. Drums were bloating, bowel sounds weakened, palpable mass was not palpable. Barium swallowed X-ray examination: No barium significantly through the pylorus. Diagnosis: acute complete pyloric obstruction.