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患者女,24岁,因阵发性腹痛伴呕吐2天,加重4小时急症入院。患者于2天前空腹食用栗子、山楂、香蕉后,出现上腹阵发性隐痛,恶心,呕吐块状物,色暗黄,约3×3×3cm大小,4小时前腹痛加剧,呈持续性隐痛,阵发性绞痛,呕吐频繁,呕吐物为褐色液体,腹胀。自发病以来,未进其他食物及毒物,8小时前曾大便一次,便物稀薄,无脓血。查体:神志清,腹部略膨隆、软,全腹压痛,上腹部尤重,无反跳痛,叩鼓,无移动性浊音,肠鸣音亢进,闻气过水声。血常规:WBC 18.1×10~9/L,N 0.91,L 0.09,腹部X线透视示上腹部及左下
Female patient, 24 years old, due to paroxysmal abdominal pain with vomiting for 2 days, increased 4 hours emergency admission. Patients with fasting chestnuts, hawthorn and bananas 2 days before the onset of paroxysmal abdominal pain, nausea and vomiting block, dark yellow, about 3 × 3 × 3cm size, aggravating 4 hours before the abdominal pain was persistent Hypertension, paroxysmal angina, frequent vomiting, vomit of brown liquid, bloating. Since the onset, not into other foods and poisons, stool once eight hours ago, stool thin, no pus and blood. Examination: Consciousness, the abdomen slightly bulging, soft, full abdominal tenderness, particularly severe on the abdomen, no rebound tenderness, percussion drums, no movement dullness, bowel sounds hyperthyroidism, sighs over the water. Blood: WBC 18.1 × 10 ~ 9 / L, N 0.91, L 0.09, abdominal X-ray showed the upper abdomen and lower left