肠梗阻的护理查房医学演示课件.pptxVIP

肠梗阻患者护理Nursing rounds of intestinal obstruction现病史history of present illness患者男，80岁。患者主诉：腹胀腹痛5天。入院查体8T36.2℃，P74次/分，R18次/分，BP136/68mmHg,发育正常，无贫血貌，营养一般，神智清楚，对答切题，查体合作。皮肤巩膜无黄染，浅表淋巴结无肿大，双肺呼吸音稍粗。HR74次/分，律齐，有力，无杂音，腹稍膨隆，未见胃肠型及蠕动波，腹软，全腹部压痛，反跳痛，右腹明显，无肌紧张，肝脾未及，肠鸣4次/分，下肢不肿，生理反射存，病理反射未引出。WWW.COMPANYSITE.COM | INFO@COMPANYSITE.COM | +12 34 567 890 | LONG STREET 12345, CITY, COUNTRY基本情况评估Basic situation assessment腹胀腹痛5天无药物过敏史嗜烟嗜酒3天未解大便意识清楚，自主能力正常阳性体征：全腹部压痛，反跳痛，右腹明显WWW.COMPANYSITE.COM | INFO@COMPANYSITE.COM | +12 34 567 890 | LONG STREET 12345, CITY, COUNTRYCT检查CT