巨大胃间质瘤自发性破裂伴出血1例报道
Chinese Journal of Bases and Clinics in General Surgery(2013)
Abstract
<正>病例资料患者,男,44岁,因"左上腹痛2 d"急诊入院。患者入院前2 d无明显诱因感左上腹疼痛不适,无恶心、呕吐、腹胀及晕厥,休息后腹痛不缓解,遂来笔者所在医院就诊。腹部B超示:左上腹有一实质性肿块,脾周有液性暗区,腹腔积液。查体:体温36.4℃,脉搏117次/min,呼吸20次/min,血压120/90 mm Hg(1 mm Hg=0.133 kPa);神志清,精神欠佳;两肺呼吸音粗;腹平,左上腹压痛,稍有肌紧张,无反跳痛,余腹未触及压痛;Murphy征阴性;肝脾肋下未
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