胃肠痉挛症 刘某,女,28岁。上腹部阵发性疼痛20多天,近几天加重。疼痛一日数次发作,每次持续约20min,食入痛作,恶心呕吐,口干,四肢厥冷。在县医院住院治疗半月,多次注射阿托品等解痉止痛药,见效而不愈,延医求治。既往有发作史,这次因家务不和而发病。检查:神志清楚,形体较瘦,有痛苦面容,喜卧,腹软平坦,上腹部有轻压痛,未触及 Gastrointestinal fistula Liu, female, 28 years old. Paroxysmal pain in the upper abdomen for more than 20 days, increased in recent days. The pain occurred several times a day and lasted for about 20 minutes each time. Pain in food, nausea, vomiting, dry mouth, and cold limbs. In the county hospital for half a month of hospitalization, multiple injections of atropine and other antispasmodic analgesics have been effective and have been cured. There was a history of seizures, and this time it was due to housework discord. Examination: conscious, lean, with pain, happy face, soft and flat abdomen, light tenderness on upper abdomen, untouched