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1 病例资料女性,64岁,因“腹痛3d,加重6h”于2016年8月19日急诊入院;3d前患者突发脐周持续疼痛,无呕吐、发热,外院抗感染、解痉止痛等治疗效果差,6h前腹痛加重。就诊我院,急查腹部CT扫描(图1A、1B)示:腹腔内环状高密度影伴小肠梗阻、阑尾炎、腹盆腔少量积液。入院体格检查:血压16.0/10.7kPa,脉搏72次/分,体温36.8℃,急性痛苦面容,腹平软,下腹部压痛、反跳痛阳性,肠鸣音减弱。急查血常
1 Case data Female, 64 years old, due to “abdominal pain 3d, increased 6h ” on August 19, 2016 emergency admission; 3d patients before sudden umbilical continuous pain, no vomiting, fever, outside the hospital anti-infective, antispasmodic and analgesic The treatment effect is poor, abdominal pain increased 6h before. Visit our hospital, emergency CT scan of the abdomen (Figure 1A, 1B) shows: intra-abdominal ring-shaped high-density shadow with small bowel obstruction, appendicitis, abdominal a small amount of effusion. Admission physical examination: blood pressure 16.0 / 10.7kPa, pulse 72 beats / min, body temperature 36.8 ℃, acute pain face, abdominal soft, lower abdominal tenderness, rebound pain, bowel sounds weakened. Urgent blood test