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例1:赵××,女,26岁。住院号138748。因上腹部阵发性绞痛2天伴恶心、频繁呕吐,无腹泻,在当地医院按胆道蛔虫症治疗,效果不显,转本院急症科诊治。既往有“心口痛”病史。入院时停经6个月。查体:体温36℃,血压80/60毫米汞柱,发育正常,脱水貌,嗜睡,呼吸深长,颈软,心肺(-),腹软,全腹均有压痛,以右上腹及剑突下压痛较著,无反跳痛,肝浊音界存在,宫底脐下一指。白细胞29,200,中性粒细胞88％,淋巴细胞12％。给予抗生素、山莨菪
Example 1: Zhao × ×, female, 26 years old. Hospital number 138748. Due to paroxysmal supination of the upper abdomen 2 days with nausea, frequent vomiting, no diarrhea, in the local hospital treatment of biliary ascariasis, the effect is not significant, the hospital emergency department diagnosis and treatment. Past history of “heart ache”. Menopause on admission 6 months. Physical examination: body temperature 36 ℃, blood pressure 80/60 mm Hg, normal development, appearance of dehydration, lethargy, long breathing, neck soft, cardiopulmonary (-), abdominal soft, abdominal tenderness are all to the right upper quadrant and xiphoid Tenderness, no rebound tenderness, liver dullness sector, the next refers to the bottom of the umbilical Palace. Leukocytes 29,200, neutrophils 88%, lymphocytes 12%. Given antibiotics, Anisodus