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例1 丁某,男,78岁,住院号2380,1974年2月11日初诊。患者1964年曾因胃穿孔作胃大部分切除术,1974年又因胃痛出血住院,经对症治疗,出血减少,但大便秘结14日不通。胸腹部透视呼吸动度减弱,双膈下未见游离气体,胃泡呈椭圆形,在腹中部可见四个液平面,侧观察更明显,左上腹肠袢胀气明显。经会诊,诊断为肠梗阻。由于高龄体衰,手术危险性大,患者亲属要求保守治疗,特邀余会诊。诊见年迈体衰,面黄消瘦,饮食不进数日,食则呕逆,腹部胀满如鼓,按
Example 1 Ding M, male, 78 years old, hospital number 2380, newly diagnosed on February 11, 1974. In 1964, the patient had undergone a major gastrectomy for gastric perforation. In 1974, he was hospitalized for bleeding due to stomach pain. After symptomatic treatment, bleeding was reduced, but constipation was not available on the 14th. In the chest and abdomen perspective, the respiratory motion was weakened. There was no free gas under the double sulcus. The stomach vesicles were elliptical. There were four fluid planes in the middle of the abdomen. Obvious observations were seen on the side, and the flatulence of the left upper abdomen was obvious. After consultation, diagnosed as intestinal obstruction. Due to the aging of the body, the risk of surgery is high, and the relatives of the patients require conservative treatment. Special consultation is invited. The patient is diagnosed with a debilitating illness, is lean and thin, he does not have a diet for a few days, his food is vomiting, and his abdomen is full of drums.