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小肠间质瘤穿孔一例 被引量:3

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摘要 患者,女,50岁,以“便血伴全腹疼痛4d”为主诉入院.患者5年前无明显诱因出现便血,伴有意识模糊、乏力.胃镜、肠镜未见阳性检查结果,考虑肠道毛细血管破裂.之后间断出现黑便,伴有腹痛,乏力,心悸.4d前患者再次出现黑便,伴有新鲜血液排出.查体:腹部未触及包块,全腹压痛、反跳痛及肌紧张,移动性浊音阳性,肠鸣音4次/min.急诊CT检查:腹腔积气、积液,符合消化道穿孔改变(图1).
出处 《中华普通外科杂志》 CSCD 北大核心 2014年第2期158-158,共1页 Chinese Journal of General Surgery
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