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男患,68岁。于1989年4月10日16时无明显诱因右下腹痛,晚20点固定右下腹部胀痛,并不断加重。当日进食无恶心呕吐、发烧及血尿、排大小便各1次。至夜2点腹痛难忍,急诊入院。既往高血压病史20余年,多发性脑梗塞,长期服降压利尿剂。入院时:收缩压12.0kPa,呈失血后休克状态,经输血、抗休克、给氧,血压回升至13.3kPa,有肾区剧痛,甘油灌肠排便潜血阴性。腹痛未见减轻,RBC3.6×10~(12)/L,Hb85g/L,WBC12.9×10~9/L,急查尿素氮17.38mnol/L,肌酐3.9,血糖17.04mmol/L,淀粉
Male suffering, 68 years old. On April 10, 1989 at 16 o’clock there was no obvious incentive for right lower quadrant pain, fixed right lower quadrant pain at 20 o’clock and continued to increase. No nausea and vomiting on the day of eating, fever and hematuria, row of urine 1 times. Abdominal pain to 2 o’clock in the night, emergency admission. Previous history of hypertension more than 20 years, multiple cerebral infarction, long-term service antihypertensive diuretic. Admission: systolic blood pressure 12.0kPa, was post-hemorrhagic shock state, the blood transfusion, anti-shock, oxygen, blood pressure rose to 13.3kPa, a severe pain in the kidneys, glycerin enema occult occult blood negative. Abdominal pain no reduction, RBC3.6 × 10 ~ (12) /L, Hb85g / L, WBC12.9 × 10 ~ 9/L, Urgent nitrogen urea 17.38mnol / L, creatinine 3.9, blood glucose 17.04mmol / L, starch