Clinical analysis - continuous paroxysmal abdominal pain aggravated abdominal distension shock bloody ascites.docVIP

 PAGE \* MERGEFORMAT 8 Clinical analysis - continuous paroxysmal abdominal pain aggravated abdominal distension shock bloody ascites A medical record A male, 54 years old. Paroxysmal increase due to persistent abdominal pain with nausea, vomiting and 1 day admission. Were no obvious incentive to the hospital at about 5 pm that day sudden onset of abdominal pain, in order to clear the upper abdomen, showing persistent pain, pain fired to the back, with nausea, vomiting, vomit stomach contents, non-spray, non-coffee kind of thing, belching, acid reflux, diarrhea, pus and blood will, no chills, fever, cough, shortness of breath, chest pain and other symptoms. the whole Day unsolved stool, exhaust normal to the hospital twice after disease clinic, the anti-inflammatory, antispasmodic, pain and other symptomatic and supportive treatment, pain-free ease, but paroxysmal worsening. past January recurrent upper abdominal pain, had B-imaging examination showed “chronic gastritis” were treated to the appropriate relief. Admission examination: T37.5 ℃, P72 beats / min, R20 beats / min, BP130/80mmHg, acute pain sickly, groaning more than, passive flexion position, subjects cooperate, Shen Qing. Abdomen is soft, no intestinal and peristaltic wave is not fixed whole abdominal tenderness, especially below the belly button side obviously, no rebound tenderness and muscle tension, negative Murphy’s sign, liver, gallbladder, spleen not palpable, no palpable mass, no percussion pain kidney area , shifting dullness negative, bowel sounds 1-2 times / min. auxiliary examination: B ultrasound showed the liver, gallbladder, pancreas, spleen, kidney normal. After hospital: patients admitted to hospital with suspected “abdominal pain of unknown origin.” Intramuscular injection of atropine 0.5mg, pethidine hydrochloride injection 100mg, intravenous injection of vitamin K3 8mg, Inj 654-2 10mg, 25% sulfuric acid Magnesium injection 20ml, 0.4g, etc. spasm ciprofloxacin i