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患者女,16岁,因转移性右下腹痛1天,加重4小时以急性阑尾炎入院。查体:T 38.7℃,P 86次/分,R 23次/分,BP13.0/8.0kPa,急性痛苦病容,面色稍苍白。右下腹麦氏点压痛、反跳痛、肌紧张,移动性浊音阴性。辅助检查:Hb 125g/L,WBC11.2×10~9/L、N 0.86,L 0.14。临床诊断:急性阑尾并局限性腹膜炎。入院3小时在连续硬膜外麻醉下行阑尾切除术。取麦氏切口,打开腹腔可见不凝血性腹水自切口溢出,吸出400ml,见
Female, 16 years old, was admitted to hospital with acute appendicitis for 4 hours due to metastatic right lower abdominal pain for 1 day. Physical examination: T 38.7 ℃, P 86 beats / min, R 23 beats / min, BP 13.0 / 8.0kPa, acute pain, slightly pale. Right lower quadrant abdominal pain, tenderness, rebound tenderness, muscle tension, shifting voiced negative. Assisted examination: Hb 125g / L, WBC11.2 × 10 ~ 9 / L, N 0.86, L 0.14. Clinical diagnosis: acute appendicitis and localized peritonitis. Admission was performed for 3 hours under continuous epidural anesthesia. Take Mai’s incision, open the abdominal cavity visible non-coagulation of ascites overflow incision, suck out 400ml, see