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患者,男,35岁,农民,因间歇性腹痛腹泻3年,腹泻粘液血便1年,加剧伴左侧腹部包块5月来院就诊。入院8小时前出现腹痛、腹胀、肛门无排便排气以肠梗阻、结肠癌收住院。查体:T 37℃,R 22次/min,P 92次/min,BP 110/70mmHg。营养欠佳,精神差,呈痛苦面容,屈曲体位。心肺正常,腹膨隆未见肠型及肠蠕动波,肝脾未触及,左侧腹部触及一拳头样大小包块,活动欠佳,表面光滑伴压痛,肠鸣音亢进,可扣及气过水声。实验室检查:Hb 80g/L,WBC 13×10~9/L,N 0.78,L0.22,ESR 26mm/h,尿正常,便无未查,肝功心电图均正常,X线透视报告心肺正常,腹部有数个气液面。经
Patient, male, 35 years old, farmer, 3 years of diarrhea due to intermittent abdominal pain, 1 year of diarrhea, bloody mucus, exacerbated with the left abdominal mass in May to hospital. 8 hours before admission abdominal pain, abdominal distension, anal defecation to intestinal obstruction, colon cancer hospital. Examination: T 37 ℃, R 22 times / min, P 92 times / min, BP 110 / 70mmHg. Poor nutrition, poor spirit, showing a painful face, flexion position. Normal heart and lung, abdominal bulging no intestinal and peristaltic waves, liver and spleen not touched, the left abdomen touched a fist-like mass, poor activity, smooth surface with tenderness, hyperactive bowel sounds, buckle and gas can be water sound. Laboratory tests: Hb 80g / L, WBC 13 × 10 ~ 9 / L, N 0.78, L0.22, ESR 26mm / h, normal urine, no non-investigation, liver electrocardiogram were normal, There are several gas-liquid surfaces in the abdomen. through