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患者,男性,52岁。因中上腹部剧痛伴恶心3h,于1984年5月4日急诊入院。曾有中上腹隐痛伴嗳气3年,无呕血、黑便史。既往曾接受血吸虫病原治疗2次。检查:急性病容,T37.6℃,P116,BP100/70,心肺(-),腹壁强硬,明显压痛及反跳痛。X线检查两膈下见游离气体。化验:Hb145g/L,WBC12.7×10~9/L,中性90％,淋巴10％。拟诊:溃疡病穿孔并发弥漫性腹膜炎。剖腹探查,见十二指肠球部前壁穿孔,大小约1×0.7cm,有肠液外溢,作胃大部切除,BillrothⅡ式吻合。术后恢复顺利,痊
Patient, male, 52 years old. Due to mid-upper abdominal pain with nausea 3h, on May 4, 1984 emergency admission. Have had abdominal pain with cramps 3 years, no hematemesis, black history. Previously received schistosomiasis treatment 2 times. Check: acute disease, T37.6 ℃, P116, BP100 / 70, cardiopulmonary (-), abdominal wall toughness, significant tenderness and rebound tenderness. X-ray examination to see the two free gas diaphragm. Assay: Hb145g / L, WBC12.7 × 10 ~ 9 / L, neutral 90%, lymphatic 10%. To be diagnosed: ulcer disease perforation complicated with diffuse peritonitis. Laparotomy, see the anterior wall of duodenal perforation, the size of about 1 × 0.7cm, there is overflow of intestinal fluid, for the removal of most of the stomach, Billroth Ⅱ anastomosis. Postoperative recovery smoothly, recovered