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1病历报告患者,男,20岁。因突发右侧腹痛4h于2007年9月15日入院。患者于入院前4h无明显诱因始发右侧腹痛,呈阵发性绞痛,伴恶心、呕吐,无肩背及会阴部放散痛,无腰部束带感,无尿频、尿急、尿痛、肉眼血尿等。查体:T36.7℃,P85次/min,R21次/min,BP145/92mmHg。神志清,急性病容,心?
1 medical record patient, male, 20 years old. Due to sudden right abdominal pain 4h on September 15, 2007 admission. 4h before admission, there was no obvious incentive to start the right side of the abdominal pain, paroxysmal angina, with nausea, vomiting, no shoulder and perineal pain, no waist banding, no urinary frequency, urgency, dysuria, Gross hematuria and so on. Examination: T36.7 ℃, P85 times / min, R21 times / min, BP145 / 92mmHg. Conscious, acute illness, heart?