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病人女,45岁。2007年7月因腹痛腹胀,肛门停止排气排便4d来院。查体:腹部膨隆,软,全腹压痛,无肌紧张,肠鸣音弱,未闻气过水音。腹部X线片示中上腹部肠管扩张且见4个约9cm宽大液平,以肠梗阻收住普外科。住院后经行持续鼻胃管减压,静脉营养支持,灌肠及抗感染治疗,4d后梗阻稍缓解。清洁远端肠道后行钡灌肠检查,见降结肠中上端狭窄,约4.0cm黏膜破坏消失,其上端仅见少许钡剂进入。排剂后立位片仍见降结肠上有肠腔液平,上腹部广泛积气扩张并见多个液平,中腹部见部分
Female patient, 45 years old. July 2007 abdominal pain due to abdominal distension, anal defecation 4d to stop bleeding. Examination: abdominal bulging, soft, full abdominal tenderness, no muscle tension, bowel sounds weak, no smell over the water sound. Abdominal X-ray showed upper abdominal dilatation and see 4 about 9cm wide level to intestinal obstruction to receive general surgery. After hospital stay through the nasogastric decompression, intravenous nutrition support, enema and anti-infection treatment, 4d after the obstruction slightly relieved. After cleaning the distal intestine barium enema examination, see the descending colon in the upper stenosis, about 4.0cm mucosal destruction disappeared, the upper end of only a little barium to enter. Displacement tablets are still standing down the bowel on the intestine fluid level, the upper abdomen, extensive expansion and see a number of fluid level, see the part of the abdomen