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急性胰腺炎临床表现复杂多样,我院收治表现疑似为胃穿孔1例,报告如下。1病历摘要男,69岁。因突发腹部疼痛6 h入院。既往胃镜曾证实为胃溃疡。体质中等,无酗酒,脂肪餐史。伴有恶心,无呕吐,排大便一次,量少。有腹胀。查体:腹部平坦,腹肌紧张,全腹压痛,上腹部剑突下为重,伴反跳痛?
Acute pancreatitis complicated and diverse clinical manifestations, admitted to our hospital suspected gastric perfusion in 1 case, the report is as follows. 1 medical record summary male, 69 years old. Abdominal pain due to sudden 6 h admission. Previous gastroscopy has been confirmed as gastric ulcer. Moderate, no alcoholism, fat meal history. With nausea, no vomiting, bowel movements once, less. Have bloating. Physical examination: flat abdomen, abdominal muscle tension, abdominal tenderness, upper abdominal xiphoid heavy, accompanied by rebound tenderness?