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女患,34岁。因风心病5年,近2个月加重,以风心病、心衰入院.入院第三天因与家人生气,静滴输液过速,心跳气短加剧,夜12时突然上腹部剧痛,呈持续性,无恶心呕吐,排出急腹症及胃肠疾患。经用解痉药、止痛药等均无效。但经抗心衰治疗后,随心衰好转腹痛亦缓解。故考虑腹痛为心衰引起。心衰时静脉同流障碍,胃肠道瘀血,心输出量减少,肠系膜血管瘀血、缺氧,导致平滑肌痉挛,引起剧烈腹痛。
Female patient, 34 years old. Due to rheumatic heart disease for 5 years, nearly 2 months aggravating, with rheumatic heart disease, heart failure admitted to hospital the third day of hospitalization due to angry with his family, intravenous infusion of infusion, heart shortness of breath shortness of breath, suddenly abdominal pain at 12 o’clock, was sustained No nausea and vomiting, discharge of acute abdomen and gastrointestinal disorders. After the use of antispasmodic drugs, painkillers, etc. are invalid. However, after anti-heart failure treatment, with heart failure improved abdominal pain also eased. Therefore, consider abdominal pain caused by heart failure. Heart failure, venous obstruction, gastrointestinal bleeding, decreased cardiac output, mesenteric vascular blood stasis, hypoxia, leading to smooth muscle spasm, causing severe abdominal pain.