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1案例资料吴某,女,28岁。某日在超市与他人因纠纷打架,过程中腹部被对方持购物篮砸中后倒地不起,遂被送往医院急救。查体:神清,痛苦貌,腹部皮肤未见损伤,肌抵抗,压痛(+),反跳痛(+),右腹部触及肿块,腹腔穿刺抽出少许红褐色液体,其穿刺液中白细胞(+++)。X线检查:膈下多发性游离气体。以“消化道穿孔、急性腹膜炎”收住入院。即日行“剖腹探查、小肠部分切除术”。术中见:回肠末段见一处破
1 case information Wu, female, 28 years old. One day in the supermarket and others because of disputes fighting in the process of the abdomen by the other holding the shopping basket hit the ground fell, and was taken to the hospital for emergency treatment. Physical examination: Shen Qing, pain appearance, abdominal skin no damage, muscle resistance, tenderness (+), rebound tenderness (+), the right abdomen touches the mass, abdominal puncture out a little reddish brown liquid, the puncture fluid white blood cells (+ ++). X-ray examination: sub-diaphragm multiple free gas. To “gastrointestinal perforation, acute peritonitis,” admitted to hospital. That day trip “laparotomy, small bowel resection ”. See intraoperative: I saw a broken end of the ileum