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患者女,63岁。因突发腹痛2 d入院。2 d前无明显诱因出现中下腹部疼痛,为持续锐痛,并迅速波及全腹,急诊就诊我院。入院体格检查:体温36.7℃,脉搏120次/min,呼吸24次/min,血压12.3/7.5 k Pa;腹部稍隆起,全腹压痛、反跳痛及肌紧张,压痛以脐周及右下腹部为重,肠鸣音稍减弱。实验室检查:白细胞8.01×109/L,中性粒0.86、红细胞3.7×1012/L、血红蛋白112 g/L、血小板118×109/L;
Female patient, 63 years old. Abdominal pain due to sudden 2 d admission. 2 d before no obvious incentive for lower abdominal pain, sustained sharp pain, and quickly spread to the whole abdomen, emergency treatment hospital. Admission physical examination: body temperature 36.7 ℃, pulse 120 beats / min, breathing 24 times / min, blood pressure 12.3 / 7.5 kPa; abdominal slightly elevated, tender abdominal pain, rebound tenderness and muscle tension, tenderness to the umbilical and lower right abdomen As heavy, bowel sounds slightly weakened. Laboratory tests: white blood cells 8.01 × 109 / L, 0.86 neutrophils, erythrocytes 3.7 × 1012 / L, hemoglobin 112 g / L, platelet 118 × 109 / L;