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例1女性,42岁。因转移性右下腹痛1天入院。查体:右下腹有压痛,以麦氏点为重,伴反跳痛、肌紧张。血常规:白细胞11.2×1012/L,中性粒细胞92.6%。临床诊断:急性阑尾炎。术中见腹腔内大量淡黄色脓液,阑尾充血肿大,被覆脓苔,长约6cm,行阑尾单纯切除术。半个月后行部分右半结肠及回肠切除术。例2男性,29岁。因突发脐及周围持续性腹痛2 h入院。
Example 1 Female, 42 years old. Right lower abdominal pain due to metastasis 1 day admission. Physical examination: right lower quadrant tenderness, to wheat’s point is heavy, with rebound tenderness, muscle tension. Blood: white blood cells 11.2 × 1012 / L, 92.6% of neutrophils. Clinical diagnosis: acute appendicitis. Intraoperative see a large number of light yellow pus, appendiceal congestion, covering pus moss, about 6cm, the line appendectomy. Half a month after the line part of the right colon and ileal resection. Example 2 male, 29 years old. Due to sudden umbilical cord and surrounding persistent abdominal pain 2 h admission.