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1 临床资料空降兵某部新兵,男,18岁。在一次伞降着陆瞬间,突发右下腹剧烈疼痛伴恶心、呕吐。检查:生命指征正常,痛苦面容,右下腹肌紧张,Murphy 征阴性,触痛、反跳痛明显。血常规化验、腹部 X 线片未见异常。腹部 B 超检查显示:右肾积水,右输尿管下段有一0.6 cm×0.3 cm 强回声斑,后伴声影。诊断:①右肾积水;②右输尿管下段结石。给予止痛解痉、药物排石等保守治疗,2h 后排出结石,症状消失。
1 clinical data paratrooper a recruiter, male, 18 years old. Drop an instant landing in the sky, sudden severe pain in the right lower quadrant with nausea and vomiting. Check: life signs normal, painful face, right lower abdomen muscle tension, Murphy sign negative, tenderness, rebound tenderness obvious. Blood tests, abdominal X-ray showed no abnormalities. Abdominal B-ultrasound showed: right hydronephrosis, lower right ureter has a 0.6 cm × 0.3 cm strong echo spots, accompanied by sound and shadow. Diagnosis: ① right hydronephrosis; ② lower right ureteral stones. Give painkillers antispasmodic, drug row of stones and other conservative treatment, 2h after the discharge of stones, the symptoms disappear.