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患者男,42岁,农民。因右腹股沟可复性包块1年,不能还纳伴腹疼8h来院就诊。查体:血压14/9kPa,脉搏88次/分。心肺正常,腹部饱满,全腹压痛反跳痛,以右下腹为重,移动性浊音试验阳性。右腹股沟处可触及8×6×5cm包块,质韧,触疼,不能还纳。血常规:Hb85g/L,WBC12.8×10~9/L,NO.89,L0.11。入院诊断:右腹股沟嵌顿性斜疝。入院后急症于术:术中见疝内容物为小肠,疝囊内有陈旧性积血,探查肠管及肠系膜,末见有出血灶,还纳肠管后,见大量陈旧性积血自内环口处溢出,遂行
Male patient, 42 years old, farmer. Due to the reversible mass of the right groin for 1 year, it is not possible to return to the hospital with abdominal pain for 8 hours. Physical examination: blood pressure 14/9kPa, pulse 88 beats/minute. Cardiopulmonary normal, full abdomen, full abdominal tenderness rebound tenderness, with the right lower abdomen as the most important, mobile voiced test positive. The right groin can touch 8 × 6 × 5cm mass, tough, touch, can not be satisfied. Blood routine: Hb 85g/L, WBC 12.8×10~9/L, NO.89, L0.11. Admission diagnosis: Incarcerated incarcerated oblique inguinal hernia. Emergency treatment after admission: see the contents of the hernia in the small intestine, old blood in the hernia sac, exploration of the intestine and mesentery, hemorrhage at the end, and a large amount of stagnant blood from the inner ring Office overflows