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患者男性,33岁,因上腹部持续性胀痛3天为主诉入院.患者3天前,因饱餐后剧烈地运动,突然出现上腹部偏左剧烈疼痛,呈持续性胀痛,可向后背部放射.暖气、恶心、呕吐,呕吐物不含胆汁,但不久代之以于呕.曾在当地卫生院拟诊为“急性胃炎”给予解痉止痛等处理后,症状无好转,转入我院.既往健康,无类似病史.无腹膜炎史,无手术及外伤史.体检:神志清楚,急性病痛苦面容,淋巴结(-).巩膜无黄染.心肺无异常.上腹部较膨隆.下腹部平坦,无腹肌紧张,肝脾肋下未触及,剑突下偏左有压痛,无反跳痛,振水音(+),肠鸣音3次/min,余(-).化
Male, 33 years old, admitted for hospitalization due to persistent pain in the upper abdomen for 3 days.Patients 3 days ago, due to intense exercise after full meal, sudden severe left upper abdominal pain, persistent pain, back to the back Radiation.Heating, nausea, vomiting, vomitus without bile, but on behalf of vomit in the near future.Has been diagnosed in the local hospital as “acute gastritis” given antispasmodic and pain treatment, the symptoms did not improve, transferred to our hospital No history of peritonitis, no history of surgery and trauma Physical examination: conscious, acute painful face, lymph nodes (-) Scleral no yellow dye No abnormality of the heart and lung The upper abdomen is more bulging The lower abdomen is flat, No abdominal muscle tension, liver and spleen ribs were not touched, the left xiphoidal tenderness, no rebound tenderness, vibration sound (+), bowel sounds 3 times / min, I (-).