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病例1,患者,男,31岁。因腰部胀痛20余天,便血1周余入院。体格检查:腹平,未见肠型及蠕动波,左下腹可扪及一大小约10 cm×10 cm包块,边界不清,活动可,无波动感。左下腹压痛,无反跳痛及肌紧张。移动性浊音(-)。肠鸣音约3~4次/分。肛门指检:直肠黏膜光滑,未扪及肿块,指退未见血染。腹部CT检查提示:肠梗阻CT征象,考
Case 1, patient, male, 31 years old. Due to lower back pain for more than 20 days, more than 1 week after admission. Physical examination: Abdominal flat, no intestinal and peristaltic waves, palpable left lower quadrant and a size of about 10 cm × 10 cm mass, the boundary is unclear, activity can be, no sense of volatility. Left lower quadrant tenderness, no rebound tenderness and muscle tension. Mobility (-). Bowel sounds about 3 to 4 times / min. Anal referral: rectal mucosa smooth, palpable mass, refers to retreat no blood stained. Abdominal CT examination: CT signs of intestinal obstruction, test