刘大爷年逾六旬,虽身材瘦弱,但平素健康,有嗜烟,酒,好打牌的乐趣。近一段时间,刘大爷接连几昼夜打牌,由于休息不好,近日常感全身酸痛,胸腹部不适,并有低热、微咳。因精神尚好,对日常生活影响也不大,故并未在意,照常外出玩乐。直至发病第三天下午,他突然感到右下腹痛,伴恶心呕吐,才去社区医院诊治。经急诊科医生检查,心肺无异常,惟有右下腹麦氏点(阑尾区)压痛明显。做血,尿,便、腹部B超,X线胸片等检查,除发 Uncle Liu more than sixty years, although the body thin, but usually healthy, smoking cigarettes, alcohol, good playing card fun. Recently, Uncle Liu played cards for several days and nights in succession, due to poor rest, the recent sense of general soreness, chest and abdomen discomfort, and fever, cough. Because of the spirit is good, the impact on daily life is not large, so did not care, as usual, go out to have fun. Until the afternoon of the third day of his illness, he suddenly felt a right lower quadrant pain accompanied by nausea and vomiting before going to the community hospital for treatment. The emergency department doctor examination, no abnormal heart and lung, only the right lower quadrant Maxwell point (appendix area) tenderness significantly. Do blood, urine, then, abdomen B-ultrasound, chest X-ray examination, in addition to hair