患者16岁,因“突发下腹痛伴发热5天”于1997年9月12日入院。既往体健,14岁月经初潮,月经周期规则,无痛经史,否认有性生活史,个人史和家族史无特殊记载。查体:体温 38.2°C,心率102次/H,血压14/kPa。全身浅表淋巴结未及。心、肺无异常发现。上腹部软,肝脾未及,右下腹轻压痛。妇 The patient, age 16, was admitted to hospital on September 12, 1997 due to “sudden onset of abdominal pain with fever for 5 days.” Past physical health, 14 years of menarche, menstrual cycle rules, history of painless, denied sexual life history, personal history and family history no special records. Physical examination: body temperature 38.2 ° C, heart rate 102 times / H, blood pressure 14 / kPa. Systemic superficial lymph nodes less than. Heart, lung no abnormal findings. Upper abdomen soft, liver and spleen not yet, right lower quadrant mild tenderness. woman