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患者阎××,男,58岁.祁县古县镇阎明村瓜农.自述腹泻好转后,以西瓜为主要饭食,且“囫囵吞子”。从第六天开始恶心、未吐、腹痛、腹胀、排气、排便困难、不思饭食、难以入眠。呈进行性加剧。五天后由县医院转来我院就诊. 临床表现为急性痛苦面容,体虚弱。腹痛呈持续性隐痛、伴阵发性绞痛加剧,发作愈趋频繁,来势迅猛,令患者难以忍受。 检查:T37~(?)℃、P98次/分、BP16/8千帕、血液白细胞计数12000个/mm~3.左上腹、左下腹可触及坚实的.索条状硬块,腹膜刺激征明显.肛镜发现直肠有大量西瓜子堆积,伴血性粘液流出.诊断为急性、完全性肠梗阻.
Patients Yan × ×, male, 58. Qixian ancient town of Yan Ming village melon. Readme diarrhea improved, with watermelon as the main meals, and “囫 囵 swallow.” From the sixth day began nausea, vomiting, abdominal pain, abdominal distension, exhaust, defecation difficulties, do not think of meals, it is difficult to sleep. Was progressive increase. Five days later, the county hospital transferred to our hospital for treatment. The clinical manifestations are acute painful face and body weakness. Abdominal pain was persistent pain, aggravated with paroxysmal angina, seizures are more frequent, the momentum is rapid, so that patients can not stand. Check: T37 ~ (?) ℃, P98 times / min, BP16 / 8 kPa, blood leukocyte count 12000 / mm ~ 3. Left upper quadrant, left lower quadrant can reach a solid. Cable lumps, peritoneal irritation sign. Rectal examination found a large number of watermelon seeds reed accumulation, with bloody mucus outflow. Diagnosis of acute, complete intestinal obstruction.