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Why Does Her Belly Hurt?

机译：为什么她的腹部受伤？

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"Owww. Oh, god, oh, please." Everyone in the emergency room froze. Following the screams, I hurried to a far cubicle. "Oh, my God," a woman shrieked, clutching her belly. She looked about 40, was noticeably overweight, and was wearing a business suit. "You OK?" I whispered to the attending physician. She nodded and said: "She had a gastric bypass two years ago. Sudden onset of severe epigastric pain. Her chest X-ray shows no free air. We're on our way to a CT scan." Air in the abdomen equals stomach or intestinal perforation, but it doesn't always show up on an X-ray. Although per- foration is rare in healthy young women, her bypass for weight loss put her in another category. I tried to think up a list of likely complications, but I couldn't come up with more than a few. "You'll be OK," I said and grabbed the stretcher railing.
机译：“哦，天哪，求你了。”急诊室里的每个人都僵住了。尖叫后，我匆匆走到一个小隔间。 “哦，我的上帝，”一个女人抓着肚子尖叫着。她看上去40岁左右，明显超重，穿着西装。 “你还好吗？”我对主治医生说悄悄话。她点了点头，说道：“她两年前做过胃旁路手术。突然出现严重的上腹痛。她的胸部X光片显示没有游离空气。我们正在进行CT扫描。”腹部的空气等于胃或肠穿孔，但并不总是显示在X射线上。尽管在健康的年轻女性中很少发生穿孔，但她绕过减肥的步伐使她处于另一类。我试图想出一系列可能的并发症，但我最多只能提出几个。 “你会没事的，”我说着抓住担架栏杆。

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  • 来源
    《Discover》 |2006年第3期|p.24-25|共2页
  • 作者

    Tony Dajer;

  • 作者单位

    New York University Downtown Hospital in Manhattan;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 自然科学总论;
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