一例回肠破裂合并结肠癌患者的诊治体会
HENAN JOURNAL OF SURGERY（2014）
Abstract
1 病例资料
患者,男性、47岁,突发腹痛1 h入院,伴恶心、呕吐.入院查体:T:36.3℃ ,P:76次/分,板状腹、全腹压痛及反跳痛肠鸣音稍弱;腹平片提示膈下见游离气体,考虑消化道穿孔.急诊行剖腹探查术,术中见距回盲部50 cm的回肠肠管增厚、变硬,旁边见肿大淋巴结,其余小肠、升结肠未见异常;距回盲部55cm左右肠管对系膜缘处一约2.0 cm的破裂口,腹腔见大量食物残渣.
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