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1 临床资料 例1,23岁,孕1产0,因孕35周,腹痛2h伴呕吐就诊。当时做胸腹透视未见异常。门诊以:“孕35周合并肠炎”收住入院。入院后给予输液、抗生素及对症治疗12h,症状未见好转,腹痛逐渐加重,肛门未排气排便。化验:血红蛋白10.5g/L,白细胞17.8×10~9/L,中性粒细胞0.86,淋巴细胞0.14。查体:体温36.8℃,脉搏100次,呼吸25次,血压16/10 kPa。神志清,痛苦病容,心肺正常。腹膨隆,无胃肠型及蠕动波,全腹轻压痛,以左中腹为重,无肌紧张,移动性浊音阴性,肠鸣音正常。宫高31cm,腹围89cm,左枕前,胎心148次,无宫缩。腹部透视下可见多个气液平面。纠正诊断:妊娠35周合并肠梗阻。给予胃肠减压,补液等治疗,疗效欠佳,次日在连续硬膜外麻醉下
1 cases of clinical data, 1,23 years old, 1 pregnant and 0, 35 weeks pregnant, abdominal pain 2h with vomiting. Thoracoabdominal fluoroscopy was no exception. Clinic to: “35 weeks pregnant with enteritis” admitted to hospital. Admission after admission infusion, antibiotics and symptomatic treatment 12h, the symptoms did not improve, abdominal pain gradually increased, anal defecation. Laboratory tests: hemoglobin 10.5g / L, leukocytes 17.8 × 10 ~ 9 / L, neutrophils 0.86, lymphocytes 0.14. Physical examination: body temperature 36.8 ℃, pulse 100 times, breathing 25 times, blood pressure 16/10 kPa. Conscious, painful illness, normal heart and lungs. Abdominal bulge, no gastrointestinal type and peristaltic waves, the whole abdomen light tenderness, to the left middle abdomen, no muscle tension, mobility dullness negative, normal bowel sounds. Palace height 31cm, abdominal circumference 89cm, left occipital, fetal heart 148 times, no contractions. Abdominal fluoroscopy can see more than one plane. Correction diagnosis: 35 weeks of pregnancy with intestinal obstruction. Given gastrointestinal decompression, rehydration and other treatment, poor efficacy, the next day under continuous epidural anesthesia