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患者,女,39岁,因腹痛、呕吐、腹泻一天入本院。查体:血压 15/10 kPa,皮肤弹性差,心音正常、律齐,心率92次/分,无杂音,两肺未闻及罗音,上腹及脐周压痛,腹软无肌紧张。化验:血常规、钾、钠、氯、呕吐物、大便常规均正常,心电图正常。诊断:急性胃肠炎。经抗菌素、补液等治疗,次日症状缓解。但当日15时又感恶心,上腹部阵发性疼痛,口服胃复安10mg。30
Patient, female, 39 years old, admitted to our hospital one day for abdominal pain, vomiting and diarrhea. Physical examination: blood pressure 15/10 kPa, skin elasticity is poor, normal heart sounds, law Qi, heart rate 92 beats / min, no noise, two lungs did not smell and rales, abdominal and umbilical tenderness, abdominal soft muscle no muscle tension. Laboratory tests: blood, potassium, sodium, chlorine, vomit, stool routine are normal, normal ECG. Diagnosis: acute gastroenteritis. After antibiotics, rehydration and other treatment, the next day symptoms ease. But at 15:00 on the same day and nausea, paroxysmal abdominal pain, oral metoclopramide 10mg. 30