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患者,男,23岁,农民,因生气突然出现左肋缘下阵发性疼痛,半小时后变为持续性钝痛,剧烈难忍,向左腰及肩背部放射,伴有恶心,四肢无力及记忆力减退。不发热,无咳嗽、胸闷及尿痛。于县医院诊断脾周围炎,肌注青霉素及链霉素,7d 后疼痛减轻,10d 后消失。1986年又先后发作4次,症状与第一次类同。1987年12月30日第6次发作,腹痛较前更为剧烈,常以屏
Patient, male, 23 years old, farmer, due to the sudden onset of paroxysmal parietal pain in the left margin of the ribs, becoming persistent dull pain half an hour later, severely unbearable, radiating to the left lower back and shoulders with nausea and weakness in the extremities And memory loss. No fever, no cough, chest tightness and dysuria. In the county hospital diagnosis of spleen inflammation, intramuscular penicillin and streptomycin, pain relief after 7d, disappeared after 10d. In 1986 has attacked 4 times, the same symptoms and the first time. December 30, 1987, the sixth attack, abdominal pain more intense than before, often to the screen