上海交大外科学肠梗阻PBL.pptVIP

肠 梗 阻 上海交通大学医学院附属瑞金医院 普外科 马迪 PBL教学 肠梗阻是急诊最常见的外科急腹 症之一，也是外科医生最不愿碰到的， 最头痛的外科急腹症之一。 诊断有时比较困难 临床病情发展较快 需要密切临床观察 严密把握手术时机 Case one(scene1) Male , age: 65, “Paraxymal abdominal pain 48h with nausea and vomiting one day”, you are the doctor on duty. Main point of the history 1:Abdominal pain The position、level、kind of pain, with or without radiation ,the relationship between bowel sound and pain, paroxymal or continuing. 2:Nausea and vomiting The kind、volumn、color and smell of vomitus, the relationship between vomiting and pain. 3:Abdominal distention Time,level and position