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患者女 ,5 2岁。明显消瘦 1年伴恶心呕吐 ,食欲减退 10天。查体 :轻度低热 ,腹部膨隆可见肠型 ,腹肌紧张 ,压痛明显 ,反跳痛 (+) ,可闻及金属音和气过水声。Ｘ线腹透 :腹部肠腔内见有较多积气 ,中下腹部有多个气液面 ,部分气液面呈阶梯状。临床诊断 :急性肠梗阻。行剖腹探查术
Patient female, 5 2 years old. Obvious weight loss 1 year with nausea and vomiting, loss of appetite for 10 days. Physical examination: mild fever, abdominal distension visible intestinal type, abdominal muscle tension, tenderness, rebound tenderness (+), can be heard and metal and gas over the water. X-ray: there are more gas in the abdominal cavity, multiple gas-liquid surface in the middle and lower abdomen, and some gas-liquid surface is in the shape of stairs. Clinical diagnosis: acute intestinal obstruction. Laparotomy