论文部分内容阅读
腹部卒中是一种极为少见的急腹症,笔者在近年来接诊过2例.现报道如下。1 临床资料 例1.张××,女性,47岁。因腹痛1d伴头昏恶心2h于1998年4月13日入院,无发热、呕吐、腹泻等,无腹部外伤史,月经史无异常,无痛经史,末次月经1998年3月30日。入院时查:T37.1℃,P122次/分,R27次/分,BP10/7kPa,面色苍白,四肢凉。心肺无异常,腹稍隆,全腹压痛,以下腹部为明显,肌紧张,反跳不明显,无肠型,移动性浊音阳性,肠鸣音低弱,腹穿及阴道后穹窿穿均抽出不凝陈旧血。血Hb80g/L,WBC11×10~9/L,N 0.84,尿 HCG阴性。B超示肝、脾、子宫及附件正常,腹腔内中等量积液。
Abdominal stroke is an extremely rare acute abdomen, the author in recent years, admissions in 2 cases are reported below. 1 clinical data example 1. Zhang × ×, female, 47 years old. 1d due to abdominal pain with dizziness and nausea 2h on April 13, 1998 admission, no fever, vomiting, diarrhea, etc., no history of abdominal trauma, no abnormal menstrual history, no history of dysmenorrhea, the last menstrual March 30, 1998. Admission check: T37.1 ℃, P122 times / min, R27 times / min, BP10 / 7kPa, pale, cold limbs. Cardiopulmonary no abnormalities, belly bulging, abdominal tenderness, the following abdomen was obvious, muscle tension, rebound was not obvious, no intestinal type, positive migratory dullness, low bowel sounds, abdomen and vaginal vault wearing out are not Stained old blood. Blood Hb80g / L, WBC11 × 10 ~ 9 / L, N 0.84, urine HCG negative. B ultrasound showed normal liver, spleen, uterus and accessories, intraperitoneal fluid volume.