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闭孔疝1例诊治体会 被引量:4

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摘要 患者女,69岁,因腹胀,腹痛,呕吐,停止排气、排便10d入院。查体:消瘦,心肺无明显阳性体征,腹部平坦,未见胃肠型及蠕动波,腹软.脐周压痛,无反跳痛及肌紧张,移动性浊音(一),肠鸣音活跃,可闻及高调肠鸣音及气过水音.双侧腹股沟区未见疝。立位腹平片提示小肠梗阻,结肠内空虚,未见气体影。诊断为高位小肠梗阻。经禁食水、胃肠减压、灌肠等保守治疗3d后未见好转,且患者出现频繁呕吐,腹痛较前加重,复查立位腹平片示小肠梗阻较前加重。检查腹部CT提示右侧闭孔内可见肠气.右耻骨肌和闭孔外肌之问可见软组织阴影,CT诊断右侧闭孔疝,小肠梗阻。
出处 《实用医学杂志》 CAS 2008年第2期309-309,共1页 The Journal of Practical Medicine
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  • 1葛圣林,周汝元,林敏,葛建军,张士兵,张飞,李峰.先天性主动脉窦瘤及合并心脏畸形的外科治疗[J].安徽医科大学学报,2006,41(1):97-99. 被引量:9
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