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(一)急性出血性胰腺炎并肠梗阻段某某,女,43岁。病历号:11475。1984年11月11日会诊。患者昨天早餐后不久突然上腹阵发性刀绞样疼痛,伴呕吐、腰胀、便秘2天。曾按“胃穿孔”、“肠梗阻”治疗无效。于今晨1时许急送我院。化验:白细胞17,400/立方毫米,中性89％。尿淀粉酶1,024单位。病危紧急会诊:急性痛苦重病容,腰肌紧张,满腹压捅,反跳痛明显。肠鸣音亢进。腹腔穿刺抽出少量血性
(A) acute hemorrhagic pancreatitis and intestinal obstruction segment, female, 43 years old. Medical record number: 11475. Consulted on November 11, 1984. Suddenly, the patient suddenly suffered from paroxysmal knife-like pain in the abdomen shortly after breakfast yesterday, accompanied by vomiting, bloating, and constipation for 2 days. Has been in accordance with the “stomach perforation”, “intestinal obstruction” treatment is invalid. At 1 o’clock this morning, I rushed to our hospital. Laboratory tests: WBC 17,400/mm3, neutral 89%. Urine amylase 1,024 units. Critically ill emergency consultation: Acute pain and severe disease tolerance, psoas muscle tension, full abdominal pressure, rebound pain, obvious. Bowel sounds hyperthyroidism. Abdominal puncture draws a small amount of bloody