论文部分内容阅读
患者王××,男性,25岁,农民,住院号70160,因腹痛、腹泻、呕吐、发热6小时于1983年9月1日急诊入院。缘患者于入院当天上午10时许进食西瓜,菠萝后约半小时即感腹部隐痛,逐渐加重呈(?)痛,伴畏寒、发热。2小时后出现频繁呕吐,先吐出食物,后为胃液和胆汁。腹泻7～8次为水样便,无脓血及里急后重。来院途中曾昏倒。既往无哮喘史,曾多次吃菠萝无不良反应,有吸烟嗜好。体检:T39.4℃,P80～164次,R30～50次,BP120/80,急性重病客,神志恍惚,躁动不安。唇、指端发绀,皮肤弹性差,无出血点,脐周有搔破区(腹痛时搔破)。巩膜无黄染,五官正常,颈软,颈
Patient Wang XX, male, 25 years old, farmer, hospital number 70160, was hospitalized on September 1, 1983 due to abdominal pain, diarrhea, vomiting and fever for 6 hours. On the day of admission, the patients ate watermelon at 10 a.m. on the day of admission, and the pain of the abdomen was felt about half an hour after the pineapple. The pain gradually increased (?), With chills and fever. 2 hours after frequent vomiting, first spit out food, after the gastric juice and bile. Diarrhea 7 to 8 times for the watery stool, no abscess and tenesmus. Have fainted on the way to the hospital. Past history of asthma, had repeatedly eat pineapple without adverse reactions, smoking hobby. Physical examination: T39.4 ℃, P80 ~ 164 times, R30 ~ 50 times, BP120 / 80, acute serious illness, trance, restlessness. The lips, fingers cyanosis, skin elasticity is poor, no bleeding point, umbilical week scratch area (abdominal pain when scratched). Sclera no yellow dye, facial features normal, neck soft, neck