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患者,男,25岁。1999年12月25日因右下腹钝痛伴发热再次入院。体检:T39℃,P110次/min,呼吸21次/min,血压135/65-mmHg,消瘦,急性面容,全身皮肤、巩膜无黄染,皮肤未见出血点,全身淋巴结未及,扁桃体Ⅱ°肿大,无牙龈肿胀,无鼻出血,无胸骨压痛,心肺听诊未见异常,肝脾肋下未及,无双肾叩击痛,右下腹麦氏点压病++,反跳痛+,可触及 5×5cm稍活动性肿块。实验室检查:血红蛋白 105g/L,白细胞 18.5×10~9/L,中性 0.25,淋巴 0.75,血小板 9×10~9/L。腹部 B超示:肝脏正常,脾脏稍
Patient, male, 25 years old. On December 25, 1999, she was admitted again because of dull pain in the right lower abdomen with fever. Physical examination: T39°C, P110 breaths/min, respiratory rate 21 breaths/min, blood pressure 135/65-mmHg, weight loss, acute facial appearance, no yellow staining of skin and sclera, no bleeding spots on the skin, no systemic lymph nodes, tonsil II° Swollen, no gingival swelling, no epistaxis, no sternal tenderness, no abnormalities in heart-to-pulmonary auscultation, no liver and spleen ribs, no pain in the renal pelvis, right lower abdomen, Macquarie point depression, ++, rebound tenderness, Touched 5x5cm slightly active mass. Laboratory tests: Hemoglobin 105 g/L, WBC 18.5×10 9/L, Neutral 0.25, Lymph 0.75, Platelet 9×10 9/L. Abdominal B-show: normal liver, slightly spleen