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患者男,24岁,于1992年5月25日无明显诱因,出现阵发性腹痛,呈持续性加重24小时入院。查体:体温36℃,脉搏80次/分,呼吸20次/分,血压16/10kPa。发育正常,心肺均未见异常,有明显的腹膜刺激征。腹部平片提示肠扩张、肠胀气。白细胞15×10~n/L。诊断为急性肠坏死,即行手术。手术所见肠系膜上静脉血栓形成,小肠广泛缺血坏死。自屈氏韧带以下小肠大部切除,仅保留回肠远端20cm与十二指肠吻合。术后给予静脉高营养治疗,按体重配给葡萄糖,脂肪乳剂、复合氨基酸、维生素、钠钾钙等电解质。术后10天开始进食
Male patient, 24 years old, on May 25, 1992 no obvious incentive, paroxysmal abdominal pain, was admitted to a 24-hour sustained aggravating. Physical examination: body temperature 36 ℃, pulse 80 beats / min, breathing 20 beats / min, blood pressure 16 / 10kPa. Normal development, no abnormal heart and lung, there are obvious signs of peritoneal irritation. Abdominal plain film prompted intestinal expansion, flatulence. WBC 15 × 10 ~ n / L. Diagnosis of acute intestinal necrosis, that is surgery. Surgical findings of superior mesenteric vein thrombosis, extensive ischemia and necrosis of the small intestine. Since the flexor ligament resection of most of the small intestine, leaving only the distal ileum 20cm consistent with the duodenum. Postoperative intravenous high nutritional therapy, according to body weight distribution of glucose, fat emulsion, amino acids, vitamins, potassium and other electrolytes sodium. Ten days after the start of eating