1.病例介绍 患者,男51岁,教师。主因右下腹持续疼痛1天,加重2小时。急诊入院,入院查:右下腹肌紧张、压痛、反跳痛阳性,有明显腹膜刺激征。化验血象18.0×10~9/L。诊断“化脓性阑尾炎”急诊行阑尾切除术。术中见盲肠明显扩张,距阑尾根部2cm处可见0.2×0.2cm穿 1. Case Introduction Patients, male 51 years old, teacher. Mainly due to the continuous pain in the right lower abdomen for 1 day, an increase of 2 hours. Emergency admission, admission examination: right lower abdominal muscle tension, tenderness, rebound-positive pain, a clear peritoneal irritation. The blood test was 18.0×10~9/L. Diagnosis of “purulent appendicitis” emergency appendectomy. The cecum was significantly dilated during the operation, 0.2 x 0.2 cm seen 2 cm from the root of the appendix