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患者男,43岁,2天前在田间修剪棉花中感中下腹部隐痛,笠日晨腹痛,腹胀,不排便排气,于1991年8月6日17时以腹痛待查住院.患者既往无手术及外伤史,无高血压史.查体 T37.2℃ P80次/分R21次/分,血压18/12kPa,心脏及双肺未见异常发现,腹胀,腹式呼吸减弱,未见肠型及逆行胃肠蠕动波,全腹有压痛,中下腹压痛明显,轻度反跳痛,腹部无移动性浊音,肠鸣音弱,未闻及高调肠鸣音及气过水声,肛门指诊未见异常.
The patient was a 43-year-old male. He had pruned cotton in the field two days ago and felt pain in the middle and lower abdomen. He had morning abdominal pain, abdominal distention, and no defecation exhaustion. He was hospitalized with abdominal pain on August 6, 1991 at noon. History of surgery and trauma, no history of hypertension. Physical examination T37.2°C P80 beats/min R21 beats/min, blood pressure 18/12kPa, no abnormalities found in the heart and lungs, bloating, abdominal breathing decreased, no bowel type And retrograde gastrointestinal peristalsis waves with tenderness in the entire abdomen, marked tenderness in the middle and lower abdomen, slight rebound tenderness, no moving dullness in the abdomen, weak bowel sounds, unheard of high-pitched bowel sounds and over-water sounds, anal examination No abnormalities.