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何某,15岁,学生,1987年4月10日以“右下腹阵发性痛疼四天,加重4小时”入院。近一年常感右下腹痛,多次被按“阑尾炎”诊治。本次发病初为小腹不适,后局限于右下腹。抗炎三天,腹痛反加剧,伴明显恶心呕吐,以“阑尾炎”急诊收住院。月经史:86·3 4-6/30-50,末次月经87·4·6,原发痛经,半年后加重,1986年12月住院时查右下腹约有3厘米直径包块。查体:右下腹麦氏点肌紧张,压痛、反跳痛明显,可触及直径约8厘米的包块,边界不清。
Hemou, 15 years old, student, April 10, 1987 to “right lower quadrant paroxysmal pain for four days, aggravating four hours” admission. Nearly a sense of right lower quadrant pain nearly a year, many times by “appendicitis” diagnosis and treatment. The incidence of early lower abdomen discomfort, after limited to the right lower quadrant. Three days of anti-inflammatory, abdominal pain intensified, with obvious nausea and vomiting, “appendicitis” emergency admission hospital. Menstrual history: 86.3-6 / 30-50, the last menstruation 87.4.6, the primary dysmenorrhea, increased after six months, December 1986, check the right lower quadrant about 3 cm diameter mass. Physical examination: Right lower quadrant abdominal muscle malformation, tenderness, rebound tenderness obvious, palpable diameter of about 8 cm mass, the boundary is unclear.