一、因腹痛、上腹包块、休克误诊为自发性脾破裂1例。例1:女,46岁。因停经4个月,突感上腹部持续性疼痛,2小时后波及全腹,伴头昏、恶心、晕厥入院。查体:体温36.4℃,血压70/50(平时血压110/70),神志清,心率110次,心音弱,腹肌轻度紧张,全腹压痛,轻度反跳痛,移动性浊音明显,左肋下 First, because of abdominal pain, abdominal mass, shock misdiagnosed as spontaneous splenic rupture in 1 case. Example 1: Female, 46 years old. Due to menopause 4 months, sudden sensation of persistent pain in the abdomen, 2 hours after the spread of the whole belly, with dizziness, nausea, syncope admission. Physical examination: body temperature 36.4 ℃, blood pressure 70/50 (usually blood pressure 110/70), conscious mind, heart rate 110 times, weak heart sounds, mild abdominal muscle tension, abdominal tenderness, mild rebound tenderness, Left rib cage