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1 临床资料 患者女,42岁,某造船厂电焊工。因脐周阵发性绞痛5天,入某医院治疗。5天前,患者无明显诱因出现脐周阵发性绞痛,不向他处放射、无恶心、呕吐、腹胀等。门诊以“肠梗阻”收入院。入院查体:生命体征平稳,腹平软,肝脾未扪及,脐周压痛,无反跳痛及肌紧张,肠鸣音稍弱,移浊(-)。辅助检查:Hb 85 g/LWBC 11.6×10~9/L,腹部透视梗阻征象不明确。 入院后给予禁食、胃肠减压、灌肠、支持、抗感染治疗,症状无明显缓解。入院第3天,患者疼痛加剧,伴冷汗、面色苍白,外
1 Clinical data Female patient, 42 years old, a shipyard welders. Due to umbilical paroxysmal colic 5 days, into a hospital for treatment. 5 days ago, patients with no obvious incentive to occur umbilical paroxysmal colic, not to radiation elsewhere, no nausea, vomiting, bloating and so on. Clinic to “intestinal obstruction” income hospital. Admission examination: stable vital signs, abdominal soft, liver and spleen not palpable, umbilical tenderness, no rebound tenderness and muscle tension, bowel sounds weaker, shifting turbidity (-). Auxiliary examination: Hb 85 g / LWBC 11.6 × 10 ~ 9 / L, abdominal obstructive signs of obstruction is not clear. After admission to give fasting, gastrointestinal decompression, enema, support, anti-infective treatment, no significant relief of symptoms. Admission on the 3rd day, the patient increased pain, accompanied by cold sweat, pale, outside