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患者女,45岁。因阵发性腹痛、呕吐、头昏、肛门停止排气排便2天,昏迷2小时,前来就诊。2天前,患者在当地医院诊断为肠梗阻,给予禁食,胃肠减压,输液、抗感染等对症支持处理,症状无好转,且逐渐加剧,于2小时前突然昏迷,遂来我院急诊。体查:T38.2℃ P110次/分,R32次/分Bp11.5/8.5kPa,消瘦体质,昏迷状态,瞳孔等大等圆约3mm,对光反射迟钝,颈抗（±）,双肺呼吸音粗糙,可闻及痰鸣
Female patient, 45 years old. Due to paroxysmal abdominal pain, vomiting, dizziness, anal stop bleeding stool 2 days, coma 2 hours, come to see a doctor. Two days ago, the patient was diagnosed as intestinal obstruction in a local hospital and given symptomatic treatment such as fasting, decompression, infusion and anti-infection. The symptoms did not improve and gradually increased. Suddenly coma occurred 2 hours ago and came to our hospital Emergency. Physical examination: T38.2 ℃ P110 beats / min, R32 beats / min Bp11.5 / 8.5kPa, weight loss, coma, pupils and other large round about 3mm, light reflex, neck resistance Breath sounds rough, audible and phlegm