论文部分内容阅读
患者女,80岁,因“纳差10余天,突发全腹胀痛16h”入院,无明确胃十二指肠疾病史。患者10余天前出现纳差,有恶心、呕吐,3d前突然出现畏寒、寒战、发热,急诊来院就诊,血常规示WBC17.00×109/L,N%93.0%,CRP>160mg/L,16h前突然出现脐周部胀痛,逐渐出现上腹部、全腹部胀痛,恶心、尿频,查体腹隆,肌紧张,板状腹,全腹压痛、反跳痛,上腹部为甚,肠鸣音消失,食管钡餐造影示膈下游离气
Female patient, 80 years old, due to “anorexia more than 10 days, sudden total abdominal pain 16h ” admission, no clear history of gastroduodenal disease. Patients with more than 10 days before the emergence of anorexia, nausea and vomiting, a sudden onset of chills, chills, fever, emergency hospital care, blood routine showed WBC17.00 × 109 / L, N% 93.0%, CRP> 160mg / L, 16h suddenly appeared before the umbilical pain, and gradually appeared in the abdomen, full abdominal pain, nausea, frequent urination, physical examination abdominal bulge, muscle tension, abdominal plateau, abdominal tenderness, rebound tenderness, upper abdomen is even, the intestine The beep disappears, esophageal barium meal angiography showed sub-inflamed gas