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患者,男性,55岁,因无痛性血尿2天,于1997年11月6日在我院行膀胱肿瘤切除及膀胱部分切除术.手术顺利,术毕膀胀内放置导尿管作常规引流.术后第四日清晨5点,病人下床排大便1次后,突感右下腹部疼痛,呈持续性,无恶心、呕吐.查体:T37.8℃,腹部平坦,腹肌轻度紧张,右下腹麦氏点处有明显压痛,且有反跳痛,未触及明显包块,肝、脾未触及,肠鸣音存在.血化验:Hb105g/L,WBC10.2×10~9/L,Sg0.75,L0.24,St0.01.
The patient, male, 55 years old, had painless hematuria for 2 days and underwent resection of the bladder tumor and resection of the bladder in our hospital on November 6, 1997. The operation was completed successfully and the catheter was placed for routine drainage .On the fourth day after the operation, the patient was relieved of right lower quadrant pain at 5:00 in the morning on the fourth day after getting out of bed and showed persistent, nausea and vomiting. Examination: T37.8 ℃, flat abdomen, mild abdominal muscle Tension, right lower abdomen at the Mark’s point there is significant tenderness, and there is rebound tenderness, did not reach the obvious mass, liver, spleen not touch, bowel sounds exist. Blood tests: Hb105g / L, WBC10.2 × 10 ~ 9 / L, Sg0.75, L0.24, St0.01.