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患者,男,40岁。因阑尾切除术后腹痛、腹胀1 d入院。患者于入院前1 d出现腹痛,以脐周及上腹部疼痛为甚,无明显放射痛,伴有恶心、呕吐,呕吐物为胃0内容物,无畏寒、发热,无腹泻、黑便,无尿急、尿频、尿痛等不适。后腹痛转移至脐周,遂至当地医院就诊。在当地医院按急性阑尾炎急诊行阑尾切除术,术中诊断为“急性单纯性阑尾炎”。术后患者腹痛未缓解,并加重,腹胀明显。行腹部CT检查提示“急性胰腺炎”。为求进一
Patient, male, 40 years old. Abdominal pain due to appendectomy, abdominal distension 1 d admission. The patient had abdominal pain 1 d before admission, pain in the umbilical cord and upper abdomen, no obvious radiating pain, nausea, vomiting, vomit for the stomach 0 content, no chills, fever, no diarrhea, melena, no Urgency, frequent urination, dysuria and other discomfort. After abdominal pain transferred to the umbilical weeks, then to the local hospital. In the local hospital by acute appendicitis emergency line appendectomy, intraoperative diagnosis as “acute simple appendicitis.” Postoperative abdominal pain did not ease, and aggravate, abdominal distension significantly. Line abdominal CT examination prompted “acute pancreatitis ”. For further progress