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例1:患者女性,58岁,因上腹部疼痛伴腹胀1月行B超检查,发现胆囊充满型结石而入院。体检:腹部膨隆,上腹部轻压痛,无反跳痛,未扪及包块。血红蛋白102g/L,白细胞6.2×10~9/L。以往无腹痛病史。以慢性胆囊炎、胆囊结石行胆囊切除术。术中探查:胆囊明显萎缩,壁厚,胆囊内有数枚大小不等的结石。术后12天出院。出院后仍感上腹疼痛、阵发性腹胀,2月后腹痛加重伴明显腹胀、肠鸣、呕吐,
Example 1: A female patient, 58 years old, had a B-ultrasonic examination due to pain in the upper abdomen with abdominal distension in January and was found to have gallstones filled with stones and was admitted to the hospital. Physical examination: abdominal distension, mild tenderness in the upper abdomen, no rebound tenderness, no palpitation and mass. Hemoglobin 102g/L, WBC 6.2×10~9/L. There is no history of abdominal pain in the past. Chronic cholecystitis and cholecystectomy for cholecystectomy. Intraoperative exploration: The gallbladder is obviously shrunken, the wall is thick, and there are several stones of different sizes in the gallbladder. Discharged 12 days after surgery. Abdominal pain and paroxysmal abdominal distension were still felt after discharge. After 2 months, abdominal pain worsened with marked abdominal distention, bowel, and vomiting.