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毛某,女性,36岁,工人。因腹痛,呕吐、晕厥,于1982年6月2日上午收入内科。其夫代诉:于4天前因脐上正中部突然疼痛,阵发性加剧,出汗,呕吐,四肢冰冷,曾昏厥三次,当日在公社医院,按“胃痛”治疗,暂时好转,今日又较以前为重。急症转入某医院内科,门诊检查时,病人突然腹痛剧烈,面色苍白,诊为“胃穿孔”转外科手术。检查:面色苍白,神清,BP90/50,心肺无特殊。腹胀,压痛反跳痛明显,以上腹部较重,未发现肿块,叩诊有移动性浊音。
Mao, female, 36 years old, worker. Due to abdominal pain, vomiting, syncope, in the morning of June 2, 1982 income medical. On behalf of her husband: 4 days ago due to a sudden pain in the middle of the umbilical cord, paroxysmal exacerbation, sweating, vomiting, cold limbs, had fainted three times, the same day in the commune hospital, according to “stomach ache” treatment, temporarily improved today More than before. Emergency transferred to a hospital internal medicine, out-patient examination, the patient suddenly severe abdominal pain, pale, diagnosed as “gastric perforation” to surgery. Check: pale, clear, BP90 / 50, no special cardiopulmonary. Abdominal distension, tenderness rebound pain was obvious, the above abdominal heavier, no mass was found, percussion mobile dullness.