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例1男性,60岁。3天前无明显诱因脐周疼痛,呈阵发性,并渐感腹胀,伴有恶心、呕吐数次。体检:全腹压痛,以脐部为重,未及包块,肠鸣音亢进,无气过水声。肛诊:于直场上方触及一 10cm × 10cm包块,表面光滑,固定,质韧,有触痛。实验室检查:Hb149g/L
Example 1 male, 60 years old. No obvious incentive 3 days ago Cullen pain, paroxysmal, and gradually feel bloating, accompanied by nausea, vomiting several times. Physical examination: full abdominal tenderness, umbilicus as the most important, not mass, bowel sounds hyperthyroidism, no gas over water. Rectal examination: at the top of the direct touch of a 10cm × 10cm mass, the surface is smooth, fixed, tough quality, tenderness. Laboratory examination: Hb149g / L